支气管动脉栓塞治疗大咯血的临床应用  

Clinical Application of Bronchial Arterial Embolization to Control Hemoptysis

作　　者：李向东[1] 刘增荣[1] 董毅[1] 林剑平[1] 

机构地区：[1]内蒙古鄂尔多斯市中心医院放射科,017000

出　　处：《现代医用影像学》2006年第1期39-40,共2页Modern Medical Imageology

摘　　要：目的:研究支气管动脉栓塞治疗大咯血的临床应用效果。材料与方法:对15例大咯血患者,经相关的临床确诊和积极的保守治疗,疗效不佳,病情加重时,急诊行支气管动脉栓塞介入治疗,栓塞剂为高温后的明胶海绵颗粒,同时加用真丝线段。结果:15例患者支气管动脉栓塞后均未再咯鲜血,仅有暗红色血痰,病情稳定,无严重并发症发生。结论:大咯血患者支气管动脉栓塞急诊止血,具有微创、安全、止血快等优点,内科止血无效时,应作为首选方法。Purpose： To study the clinical application effect of treating hemoptysis by Bronchial arterial embolization （BAE）. Materials and Methods： All 15 hemoptysic patients that wre diagnosed exactly were treated by urgent interventional therapy of BAE after having active medical therapy without result or with exacerbation the embolism material is granular gelfoam heated by high temperature, and silk thread is also used in. Results： No more blood have been caught out after Bronchial arterial embolization （BAE） only a little brown bloody sputum. No serious complications have happened. Conclusion： For hemoptysic patients, The BAE has got such feature like minimal invasion, safety and stanching rapidly. It must be the first choice of therapy of the hemoptysis when the medical therapy is helpless.

关 键 词：大咯血 支气管动脉栓塞 介入治疗 

分 类 号：R56[医药卫生—呼吸系统]