To explore the value of interventional diagnosis and treatment for the acute hemorrhage.

A total of 67 patients with acute bleeding were performed with arteriography and endovascular embolization, In which, 28 cases with the upper gastrointestinal bleeding, 12 with the lower gastrointestinal bleeding, 17 with the uterine bleeding, 5 with the hepatic or renal bleeding , 1 with the hemoptysis and 4 with the postoperative acute bleeding.

By the way of selective arteriography, 66 cases were diagnosed successfully. The rate of positive diagnosis was 98.51% (66/67). The direct sign of bleeding was shown in 22 cases, which were extravasation of contrast media, the positive rate was 55.22% (37/67). Pseudoaneurysm was shown in 13 cases. The tumor blood feeding branches and tumor staining were seen in 21 cases. The scar and progesterone sac staining in uterine were seen in 12 cases. The vascular dysplasia was seen in 1 case. The immediate embolization was succeeded in all diagnosed cases, however, a patient with gastrointestinal bleeding relapsed after 4 days of embolization and was successfully treated by the second treatment. The effective rate of hemostasis was 98.51% (66/67).

Selective angiography and intravascular embolization for acute hemorrhage can clear the acute bleeding site as well as achieving rapid hemostasis, which is a safe, easy and cost-effective method.