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目的:为了更有效地诊断小肠出血的病因。方法:对26例经胃肠气钡双重造影及内镜检查的原因不明的小脑出血病例作了选择性动脉造影.结果:急性大量出血8例,慢性或间歇性出血18例,全部病例有异常发现,造影剂外溢3例,显示病理血管23例,其中19例经手术后病理证实。结论:动脉造影是小肠出血的一种安全、敏感的检查手段,特别有利于诊断小肠肿瘤,选择正确的止血和治疗方法。
Purpose: To diagnose the cause of intestinal bleeding more effectively. Methods: Selective arterial angiography was performed on 26 cases of cerebellar hemorrhage with unknown cause of gastrointestinal barium double contrast and endoscopy. Results: Acute massive hemorrhage in 8 cases, chronic or intermittent hemorrhage in 18 cases, all cases were abnormal findings, contrast agent overflow in 3 cases, 23 cases showed pathological blood vessels, including 19 cases confirmed by pathology. Conclusion: Arteriography is a safe and sensitive method for the detection of small bowel hemorrhage. It is especially useful for diagnosing small bowel tumors and selecting the correct hemostasis and treatment.