【摘要】 目的：观察明胶海绵加丝线微粒栓塞支气管动脉治疗大咯血中的疗效。方法：２２例急性大咯血患者，男１４例，女８例，支气管扩张症１２例，肺结核６例，肺癌并出血４例，均用海绵加丝线微粒栓塞。结果：２２例患者术后咯血量明显减少，３天后咯血完全停止，１例１周后复发经第二次栓塞止血。所有病例组随访四个月以上均无复发。结论：支气管动脉栓塞控制急性大咯血为有效、安全的微创手术。更多还原

【Abstract】 Objective:To evaluate the curative effect of embolization of bronchial artery in the treatment of massive hemoptysis.Methods：22 patients with acute massive hemoptysis were treated by means of transcatheter arterial embolization with silk and gelfoam particles,including bronchiectasis(n=12),tuberculosis(n=6),and lung cancer associated with hemoptysis(n=4).Results:Hemoptysis in 22 patients reduced apparently postembolization and stopped completely 3 days later.Among them,bleeding in one case recurred a week later postoperatively and was controlled after reembolization.There was no recurrence of hemoptysis in follow-up period of more than 4 months in all these 22 patients.Conclusion：Embolization of bronchial artery is a safe,less invasive and effective method for acute massive hemoptysis.更多还原