Percutaneous Puncture Of The Superior Mesenteric Artery Catheter Pumping Pituitrin In Clinical Application In Treatment Of Latent Gastrointestinal Bleeding

Objective:Study percutaneous puncture of the superior mesenteric arterycatheter pumping pituitrin in the treatment of the clinical application andefficacy of latent gastrointestinal bleeding.Methods:Collected from2012-03-01to2012-03-01,16patients with latentgastrointestinal bleeding,14cases of male patients, female patients in2cases, aged16to73years old, average53.95years.Symptoms of all patients start for intermittent or continuous blood,history of different length, ranging from5years to2days. Afteradmission, detailed history and improve relevant auxiliary examinationresults, all the patients before the onset of excitant food, biochemicaltests suggest all hospitalized patients without a history of hepatitis b andc, hepatitis and clotting mechanism had good liver function is unusual,After abdominal colour to exceed all of the patients had no cirrhosis, allpatients by gastroscope and colonoscopy found no clear cause of bleeding and bleeding, and can eliminate liver cirrhosis portalhypertension caused by gastric esophagus varicosity burst hemorrhage,After abdominal enhanced CT examination except for part of thegastrointestinal tract tumor lesions, physical examination and routineblood reminders all patients have different degree of anemia, no obviousabnormal platelet values change. Bleeding after admission to hospital,expansion, add red blood cell suspension or whole blood internalmedicine treatment, no obvious curative effect.For the collected cases, catheter respectively by interventionaltechniques for left gastric artery and gastroduodenal artery and superiormesenteric artery and inferior mesenteric artery, the application of highpressure syringe imaging, imaging results, through interpretation arterieswere chosen not seen signs and abnormal vascular enhancement thecontrast agents, Combined with colonoscopy in patients withpreoperative gastroscopy and as a result, the bleeding position is locatedin the small intestine, will be placed in the superior mesenteric arterycatheter tip to openings, the catheter to pituitrin6pumping unit10minutes,10minutes interval again superior mesenteric artery and theindwelling catheter and postoperative intermittent pumping pituitrin(every6hours the micro pumps in30minutes into the pituitrin (12units), the symptom was compared before and after intervention inpatients with blood, and black and assess clinical effect. Results:all patients after intervention treatment pump for the first time intothe pituitrin blood in patients with symptoms were significantlyimproved, the specific performance for24hours in patients with bloodwas significantly reduced, and the total number of postoperative blood3patients had ground to a halt, only black,1week postoperative follow-upof patients with blood, come to a complete stop after one monthsfollow-up, all patients had no blood, and black.Conclusion:percutaneous puncture trace pump into the superior mesentericartery catheter pituitrin for hidden source sex significant effect on theclinical treatment of gastrointestinal bleeding.