支气管动脉栓塞治疗急性大咯血的临床应用  

Clinical applications of selective bronchial artery embolization in the management of acute hemoptysis

作　　者：王丽[1] 王金碧 李端明[1] 袁曙光[2] 王家平[2] 李迎春[2] 普成荣[2] 

机构地区：[1]云南省开远市人民医院DSA室,661600 [2]昆明医学院附属二院

出　　处：《实用医学影像杂志》2004年第3期170-172,共3页Journal of Practical Medical Imaging

摘　　要：目的评价选择性支气管动脉栓塞对治疗急性大咯血的效果。方法49例大咯血病人包括经临床与放射学证实的肺结核21例,支气管黏膜结核4例,支气管扩张18例,以及晚期肺癌6例,均经选择性支气管动脉栓塞治疗。栓塞治疗后,全部病人经随访6个月至18个月。结果栓塞治疗后12h,49例中的46例(93.9%)被成功地止血,其余3例栓塞后再次咯血,再行栓塞治疗后,咯血停止。在随访6个月至18个月期间,除3例肺癌与1例肺结核偶有痰血外,未发生与栓塞治疗操作相关的严重并发症。结论选择性支气管动脉栓塞是目前治疗急性大咯血的一种较好方法,值得进一步推广应用。Objective To assess the efficacy of selective bronchial artery embolization (SBAE) in the management of acute hemoptysis.Methods Forty-nine patients with acute hemoptysis,who included clinically and radiologically proved 21 pulmonary tuberculosis,4 bronchial mucosal tuberculosis,18 bronchiectasis,and 6 advanced lung cancers underwent SBAE.After SBAE,all patients were followed up for 6 to 18 months.Results 46 of 49 patients with acute hemoptysis were immediately hemostatic at 12 hour after SBAE.The effective rate was 93.9 %.Other 3 patients with recurrence of hemoptysis underwent again SBAE and obtained the hemostatic efficacy.During followed up 6 to 18 months,there were no severe complications related to the procedure,except occacional bloody sputa in 3 patients with lung cancer and 1 patient with pulmonary tuberculosis.Conclusion SBAE is now a better means for treating the acute hemoptysis so that it is worth wide application.

关 键 词：大咯血 栓塞冶疗 支气管动脉 

分 类 号：R815[医药卫生—放射医学] R563.6[医药卫生—临床医学]