GASTROINTESTINAL BLEEDING
GASTROINTESTINAL BLEEDING
GASTROINTESTINAL BLEEDING
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11 Perform angiogram and/or<br />
radionuclide imaging<br />
• 如 bleeding 持續但 endoscopic exam 無法確定,則<br />
考慮做 angiogram, 它雖無法確認 lesion type, 但<br />
有助於 bleeding site 的定位.<br />
• Radionuclide imaging 能檢測 bleeding 速度在 0.1<br />
to 0.5 mL/min, 與 angiography or colonoscopy,它<br />
是更 sensitive 但較少 specific. 這方法的好處是可<br />
以在 24 hrs 內 rescanned several times.