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目的探讨急性下消化道大出血的诊断和治疗方法。方法１９９５年１０月以来采用选择性腹腔动脉造影及介入栓塞来诊断及治疗急性下消化道大出血１３例。结果１３例病人经１４次选择性腹腔动脉造影，１２例发现出血动脉，阳性率９２％。１２例出血病人均行介入治疗，其中１０例行介入栓塞，９例成功，１例因消化道广泛出血，失败。２例行药物灌注，止血成功。全组无并发症发生。结论选择性腹腔动脉造影及介入栓塞是诊断和治疗急性下消化道大出血安全有效的方法。
Objective To investigate the diagnosis and treatment of acute lower gastrointestinal bleeding. Methods Selective celiac arteriography and interventional embolization were used to diagnose and treat acute lower gastrointestinal hemorrhage since October 1995. Results Thirteen patients underwent 14 selective celiac angiography and 12 had hemorrhagic artery, the positive rate was 92%. All 12 patients underwent interventional therapy. Of these, 10 received interventional embolization, 9 were successful, and 1 was extensively bleeding due to gastrointestinal failure. 2 routine drug infusion, hemostasis success. No complications occurred in the whole group. Conclusion Selective celiac artery angiography and interventional embolization are safe and effective in the diagnosis and treatment of acute lower gastrointestinal bleeding.