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肺结核大咯血的介入治疗

Interventional treatment of massive hemoptysis in pulmonary tuberculosis

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【作者】 李海王星陈向东孙斌

【Author】 LI Hai,WANG Xing,CHEN Xiangdong,SUN Bin. Lung Hospital of Zhang-jia-kou City,Hebei 075441,China

【机构】 河北省张家口市肺科医院

【摘要】 目的探讨肺结核大咯血的介入诊断与治疗。方法对213例肺结核大咯血患者行支气管动脉造影(BAG)+支气管动脉栓塞术(BAE)治疗。结果行支气管动脉栓塞术(BAE)后,经1周、1个月、3个月的疗效观察,大咯血止血成功率分别可达99.5%、95.5%、94.4%,随访6个月成功率达93.4%。结论对肺结核大咯血的病理基础,栓塞材料及方法选择、介入止血无效的原因进行了讨论,认为经由内科治疗无效又无外科手术条件的肺结核大咯血病人,介入治疗是一种有效手段。

【Abstract】 Objective Investigate the involvement of hemoptysis tuberculosis treatment.Methods 213 cases diagnosed as tuberculosis patients with massive hemoptysis bronchial angiography (BAG) + bronchial artery embolization (BAE).Results Bank of bronchial artery embolization (BAE),by one week,one of the three-month effect of,the success rate of hemoptysis bleeding up to 99.5%,95.5%,94.4%,followed up six months a success rate of 93.4 percent.Conclusion Tuberculosis on the basis of the pathological hemoptysis,embolization materials and methods chosen to intervene to stop bleeding invalid reasons were discussed,considered by the medical treatment is invalid without surgical conditions of tuberculosis patients hemoptysis,intervention therapy is an effective means.

  • 【文献出处】 临床肺科杂志 ,Journal of Clinical Pulmonary Medicine , 编辑部邮箱 ,2008年10期
  • 【分类号】R521
  • 【被引频次】11
  • 【下载频次】123
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