目的探讨急性消化道大出血的介入治疗价值。方法46例急性消化道大出血患者，15例行出血靶动脉药物灌注血管加压素治疗，29例行出血动脉栓塞治疗。2例血管造影无阳性发现。对44例介入治疗患者，灌注血管加压素和出血动脉栓塞治疗，比较治疗前后患者血压、血红蛋白及呕血、便血变化。结果治疗后患者血压、血红蛋白及呕血、便血均明显好转。结论急性消化道大出血靶动脉药物灌注血管加压素及出血动脉栓塞治疗安全、有效，是内科保守治疗无效或不宜行外科手术治疗的首选治疗方法。%Objective To discuss the value of interventional treatment of emergent digestive tract hemorrhage. Methods 46 patients with emergent digestive tract hemorrhage were included. 15 of them were treated with vasopressin perfusion into target artery, and 29 patients underwent hemorrhagic artery embolization. Angiography of 2 other patients were negative. Blood pressure, hemoglobin, the symptoms including hematemesis or melena were compared before and after the intervention treatment. Results Blood pressure and hemoglobin after the treatment were stable than those before, and the symptoms of hematemesis or melena were released obviously.Conclusion Hemorrhagic artery vasopressin perfusion or embolization is safe and effective for emergent digestive tract hemorrhage, and could be the ifrst alternative for those who were not sensitive for expectant treatment or refused surgery.
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