【摘要】 目的探讨支气管动脉栓塞治疗大咯血的方法及疗效。方法对12例大咯血或反复咯血的病人用明胶海绵或PVA颗粒栓塞支气管动脉。12例病人中,支气管扩张10例;肺结核2例。先行支气管动脉、肋间动脉造影,确定出血血管后,用明胶海绵颗粒或PVA颗粒栓塞,直到支气管动脉闭塞为止。结果即刻止血10例,术后咯血完全停止;2例咯血明显减少,经内科保守治疗咯血停止。随访3月-1年不等,1例肺结核1年复发。结论支气管动脉栓塞是治疗大咯血的有效方法,效果确切,止血迅速。更多还原

【Abstract】 Objective To investigate the treatment of massive hemoptysis with bronchial artery embolization and efficacy of the method.Methods:Twelve cases of large or repeated hemoptysis was embolized bronchial arteries with PVA particles or gelatin sponge.In 12 patients,bronchiectasis was 10 cases;tuberculosis 2 cases.First artery,intercostal artery angiography was done to determine the bleeding vessel,the use of gelatin sponge particles or PVA particle was used to embolize the bronchial artery.Results:Immediate hemostasis was achieved in 10 cases with complete cessation of hemoptysis;hemoptysis in 2 cases was significantly reduced,and by conservative medical treatment hemoptysis was stopped.In 3-12 months’ follow-up,1 case of pulmonary tuberculosis recurrence.Conclusion:Bronchial artery embolization is an effective method of treatment of massive hemoptysis.更多还原