| 摘要: |
| 目的:总结介入止血技术在急性胰腺炎合并出血治疗中的应用效果。方法:选取我院2021—2023年收治的26例急性胰腺炎合并出血患者，全部行数字减影血管造影(DSA)下止血治疗，分析其临床资料和介入治疗效果。结果:26例急性胰腺炎合并出血患者，其中急性胰腺炎5例，重型胰腺炎21例。消化道出血6例，腹腔出血16例，假性囊肿合并出血3例，消化道出血伴有腹腔出血1例。胃左动脉出血2例，胃十二指肠动脉出血5例，肠系膜上动脉出血4例，脾动脉出血11例，胰十二指肠动脉出血4例。止血治疗成功23例，未成功2例，不明确1例。止血后治愈22例，死亡4例。介入止血治疗成功率88.5%，因出血而导致的死亡率15.4%。结论:介入止血技术疗效可靠，可以作为急性胰腺炎合并出血的首选治疗方法。 |
| 关键词: 介入治疗 急性胰腺炎 出血 |
| DOI：10.3969/j.issn.1007-6948.2025.05.013 |
| 投稿时间：2024-04-15 |
| 基金项目: |
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| Clinical efficacy analysis of interventional treatment for acute pancreatitis with bleeding |
| MA Shao-jun,ZHANG Xiu-jun,LU Wei |
| Nankai Hospital, Tianjin 300100, China |
| Abstract: |
| Objective To summarize the application of interventional hemostasis technology in the treatment of acute pancreatitis complicated with bleeding. Methods Collect and analyze clinical data and interventional treatment procedures of 26 patients with acute pancreatitis complicated with bleeding admitted to our unit in the past 3 years. Results There were 26 patients with acute pancreatitis combined with bleeding, including 5 cases of acute pancreatitis and 21 cases of severe pancreatitis. There were 8 cases of gastrointestinal bleeding, 16 cases of abdominal bleeding, 3 cases of pseudocysts with bleeding, and 1 case of gastrointestinal bleeding with abdominal bleeding. There were 2 cases of bleeding from the left gastric artery, 5 cases of bleeding from the gastroduodenal artery, 4 cases of bleeding from the superior mesenteric artery, 11 cases of bleeding from the splenic artery, and 4 cases of bleeding from the pancreaticoduodenal artery. 23 cases were successfully treated with hemostasis, 2 cases were unsuccessful, and 1 case was unclear. After hemostasis, 22 cases were cured and 4 cases died. The success rate of interventional treatment is 88.5%, and the mortality rate due to bleeding is 15.4%. Conclusion Interventional hemostasis technology has reliable therapeutic effects and can be used as the first treatment method for acute pancreatitis complicated with bleeding. |
| Key words: Interventional treatment acute pancreatitis bleeding |
