上消化道出血的介入治疗-Upper Gastrointestinal Tract Hemorrhage.pptVIP

Upper Gastrointestinal Tract Hemorrhage Zhengyu King * * Content Overview Equipment, Material and method Clinical character Angiography Regional perfusion Local embolism Other Conclusion Overview About gastrointestinal tract hemorrhage (GTH) Effective method for diagnosis of GTH Interventional treatment background of the GTH Clinical application Equipment Material Interventional operation room Equipment of the angiography Assistant appliance Special wire/catheter and relative material Drug and enbolization material Methods Localization of the hemorrhage with selective angiography Specific method (magnify, induce, bleeding, charge) Super-selective catheter localization Regional perfusion or embolization Others Others Equipment of emergency treatment ECG/BP monitor oxygen suction apparatus Emergency step transfusion, dilation, blood pressure Intra/post operation monitor Clinical character vital sign(Blood pressure, heart rate) bleeding status: bleed volume intestinal tract, intra abdominal cavity primary etiology Digestive Ulceration, post-operation ulceration,Disruption of the small artery at anastomotic stoma, instinal tract tumor, vessel malformation, trauma, hemorrhage of diverticulum conservative therapy Selective angiography Method Indication Contraindication Pre-operation preparation Post-operation precautions Selective angiography Super selective angiography Medication angiography Significance of angiography for surgery Artifice of angiography Limitation of angiography Interventional therapy:Regional perfusion Indication Method Selection and application of appliance Selection and application of medicine Index for the treatment judgement Interventional therapy:Regional perfusion Side-affect and complication Limitation of this method Precautions Remediation and timing Interventional therapy:Local embolization Indications Selection of appliance Embolism material (dosage and selection) Method of loca