摘要
目的:探讨支气管动脉栓塞治疗大咯血的临床应用价值。方法:32例(男19例,女13例)经内科保守治疗无效的大咯血患者,发病时咯血量300~600ml/24h,其中支气管扩张15例、肺结核11例、肺炎4例、肺癌2例。应用Seldinger技术,行选择性支气管动脉造影,视造影情况决定是否继续超选。选择性支气管动脉栓塞应用明胶海绵颗粒栓塞靶动脉远端,用明胶海绵条栓塞靶动脉主干;超选择性支气管动脉栓塞应用PVA颗粒栓塞靶动脉远端,用明胶海绵条栓塞靶动脉主干。结果:32例大咯血患者,1次栓塞28例,2次栓塞3例,1例行2次栓塞后3天复发而行外科手术切除。结论:支气管动脉栓塞术治疗内科保守治疗无效的大咯血,是一种安全、有效的方法,值得临床推广应用。
Abstract
Objective: To study the clinical effect of bronchial arterial embolization in massive hemoptysis. Methods: Medical therapy was unsuccessful in 32 patients(19 men, 13 women) with massive hemoptysis(>300ml of blood in 24 hours). The main etiologies of hemoptysis were bronchiectasis(15 patients), tuberculosis(11 patients), pneumonitis(4 patients), lung cancer(2 patients). Selective bronchial arterial angiography and bronchial arterial embolization were performed. In selective bronchial arterial embolization gelfoam was used, in superselective bronchial arteries embolization, PVA was used. Results: Embolization was performed once in 28 patients, twice in 3 patients, emergency lobectomy was required for massive hemoptysis recured three days after twice embolization in 1 patient. Conclusion: Bronchial arterial embolization is an effective and safe treatment in patients with massive hemoptysis for medical therapy.
关键词
咯血 /
支气管动脉 /
栓塞 /
治疗性
Key words
hemoptysis /
bronchial arteries /
embolization /
therapeutic
谭晓明;蔡越飞;李淑荣;左淑杰.
支气管动脉栓塞治疗大咯血的临床应用[J]. 中国临床医学影像杂志. 2006, 17(9): 491-493
TAN Xiao-ming;CAI Yue-fei;LI Shu-rong;ZUO Shu-jie.
The clinical application of bronchial arterial embolization in massive hemoptysis[J]. Journal of China Clinic Medical Imaging. 2006, 17(9): 491-493
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