【作者】 陈义雄； 陈建业； 李涛； 周国英； 梁卫明； 周卫国；

【Author】 CHEN Yi-xiong, CHEN Jian-ye, LI Tao, ZHOU Guo-ying, LIANG Wei-ming, ZHOU Wei-guo (Department of Radiology, Affiliated Hospital of Guangdong Medical College, Zhanjiang 524001,China)

【机构】 广东医学院附属医院放射科；

【摘要】 目的　探讨聚乙烯醇(PVA)颗粒支气管动脉内栓塞治疗急性大咯血的临床意义。方法　3 2例(男2 0 ,女12 )临床表现为急性大咯血患者,先行选择性支气管动脉插管造影,再作超选择支气管动脉插管,注入PVA颗粒栓塞末梢支气管动脉,再用明胶海绵颗粒栓塞近端支气管动脉。结果　所有3 2例患者均获显著疗效。其中即刻止血2 8例(87.5 % ) ,1～3天内咯血停止4例(12 .5 % ) ,有效率10 0 %。随访1年,复发2例(6% )。未见严重不良反应。结论　PVA颗粒支气管动脉栓塞治疗急性大咯血安全、有效,不易复发,值得临床推广应用更多还原

【Abstract】 Objective To study bronchial embolization with PVA in the massive hemoptysis. Methods 32 patients with acute massive hemoptysis(20 males and 12 females) were performed selective bronchial arteries angiogaphy and superselective bronchial arteries embolization with PVA and Gelfoam. Results Massive hemoptysis in 32 patients was completely controlled. Immediate control of hemoptysis was achieved in 28 patients, marked reduce in bleeding was seen in 4 patients. The effective rate was 100%. All patients had been followed for one year. Recurrence occurred in two patients. None of severe adverse reaction was occurred. Conclusion Superseletive bronchial artery embolization with PVA is an effective and safe procedure for controlling massive hemoptysis.更多还原