支气管动脉灌注-栓塞法治疗肺咯血的临床应用  

A Clinical Application of Bronchial Artery Infusion-Embolization in Severe Hemoptysis from Lung

作　　者：辛志业[1] 魏绪龙[1] 曹彭钢[1] 

机构地区：[1]东莞市太平人民医院放射科,广东东莞523900

出　　处：《实用临床医学（江西）》2007年第1期50-52,共3页Practical Clinical Medicine

摘　　要：目的:研究平阳霉素溶液灌注支气管动脉后加明胶海绵颗粒(条)栓塞支气管动脉分支及主干治疗肺咯血的临床价值。方法:32例经内科治疗无效的咯血患者对其支气管动脉、肋间动脉或胸廓内动脉等供血动脉行灌注-栓塞法治疗。全部随访6个月以上。结果:有效率为100%,治愈率为62.5%。未出现1例严重并发症。结论:灌注-栓塞法对内科治疗无效的肺咯血患者是一种更为有效、安全、简便的治疗方法。Objective：To explore the clinical effect of bronchial artery brancnes together with pingyangmycin and embolization with gelfoam particles （strips）on repeated hemoptysis. Methods：Thirty-two patients with hemoptysis were performed infusion-embolization therapy of the bronchial artery branches, intercostal artery and internal thoracic artery. All patients were followed up for more than six months. Results： The effective rate was 100%. The cure rate was 62.5%. No-serious complication was found. Conclusion： Bronchial artery infusion-embolization therapy is a rather safe,simple and effective method for severe hemoptysis from lung that would be positive respond to medical treatment.

关 键 词：灌注 栓塞 咯血 明胶海绵 平阳霉素 

分 类 号：R563[医药卫生—呼吸系统]