Analysis of the Interventional Therapy Value in the Acute Gastrointestinal Arterial Hemorrhage

Abstract

Objective To investigate interventional therapy value in the acute gastrointestinal arterial hemorrhage. Methods Date of 75 patients with arteriography for the acute gastrointestinal hemorrhage was retrospectively analyzed, and cases in which the shock index<1 were divided as group A, the shock index ≥1 as group B. Comparative analysis of the positive detection rate were made in the two groups. Cases using coil to embolize prescribed as group C, and cases with gelatin sponge coil embolism prescribed as group D. Comparative analysis of recurrence rate were made in these two groups .Factors affecting the positive detection rate, recurrence of bleeding and severe complications were analyzed in the end. Results Positive detection rate of 75 cases was 56% (42/75), and it has statistic significance of positive detection rate in group A and B (P 0.05). Two cases of intestinal ischemia necrosis showed in these two groups. Three patients with negative results of DSA examination were found re-bleeding after radiography, whereas interventional therapy was done at the same time. Conclusions Interventional embolization is one of the vital methods in treatment of gastrointestinal arterial hemorrhage, not only can clarify diagnosis, but also save patients life promptly. Interventional therapy therefore should be done as soon as possible when patients diagnosed as gastrointestinal hemorrhage. Key words: Radiology, interventional; Gastrointestinal arterial hemorrhage; Therapy value