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支气管动脉栓塞术治疗急性大咯血的临床应用
The Clinical Application of Arterial Embolization for the Treatment of Acute Massive Hemoptysis for the Bronchial
【摘要】 目的探讨支气管动脉栓塞术治疗急性大咯血的临床疗效。方法 35例大咯血或顽固性咯血患者,先行支气管动脉造影,再超选择支气管动脉插管,注入不同栓塞剂行支气管动脉栓塞。结果所有患者经支气管动脉栓塞术治疗及对症处理,栓塞后24h内咯血完全停止26例(74.29%),1~3天内咯血完全停止5例(14.29%),6天内咯血完全停止4例(11.43%),其中1例术中未能寻找到出供血动脉外,栓塞止血有效率为94.4%。结论支气管动脉栓塞术是治疗急性大咯血的安全、简便、有效的重要治疗手段之一。
【Abstract】 Objective Explore the clinical efficacy of arterial embolization for the treatment of acute massive hemoptysis for the bronchus.Methods 35 cases of massive hemoptysis or refractory hemoptysis,first bronchial arteriography,superselective bronchial artery catheterization,the injection of different embolic agents bronchial artery embolization.Results All patients with bronchial artery embolization treatment and symptomatic treatment,within 24 hours of hemoptysis after embolization completely stopped in 26 cases(74.29%),1-3 days hemoptysis stopped completely in 5 cases(14.29%),6 days hemoptysis complete cessation of the four cases(11.43%),including one case of surgery failed to find a feeding artery embolization was 94.4%.Conclusion Bronchial artery embolization in the treatment of acute massive hemoptysis safe,simple,effective treatment means.
【Key words】 Hemoptysis; Bronchial artery; Superselective catheterization; Embolism; Interventional treatment;
- 【文献出处】 中国医药指南 ,Guide of China Medicine , 编辑部邮箱 ,2012年18期
- 【分类号】R56
- 【下载频次】24