| 摘要: |
| ［摘要］ 目的 探讨介入治疗大咯血的临床价值。方法 回顾分析27例大咯血患者经保守治疗无效后行介入治疗的临床资料，包括支气管扩张5例、肺癌10例和肺结核12例。采用明胶海绵和聚乙烯醇（PVA）颗粒进行支气管动脉栓塞治疗。结果 27例患者出血明显减少；2例患者1周后再次出现大咯血，治疗失败；治疗有效率为92.6%(25/27)。结论 支气管动脉栓塞术是治疗急性大咯血安全、方便、有效的治疗方法。 |
| 关键词: 咯血 支气管动脉 介入治疗 |
| DOI：10.3969/j.issn.1674-3806.2016.10.24 |
| 分类号:R 562 |
| 基金项目: |
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| Interventional treatment for acute massive hemoptysis in 27 cases |
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HU Kai, HUANG Tao, WEI Lin
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Department of Respiratory Medicine, the First People′s Hospital of Zhumadian City, Henan 463000, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the effect of interventional embolization on the treatment of massive hemoptysis.Methods A total of 27 cases with massive hemoptysis who had received interventional embolization therapy because of the failed conservative treatment were enrolled in this study. The clinical data of the 27 patients were retrospectively analyzed. The pulmonary lesions included bronchiectasis(n=5), lung cancer(n=10) and Pulmonary tuberculosis(n=12). Bronchial arteries were embolized with gelatin sponges and PVA particles.Results The interventional treatment was successful in 27 patients soon after the operation, and failed in 2 patients 7 days after the treatment.Conclusion Bronchial artery embolization is a safe, simple and effective method for the treatment of acute massive hemoptysis. |
| Key words: Hemoptysis Bronchial artery Interventional radiology |
