经电子支气管镜介入治疗老年支气管扩张咯血的临床观察  

A clinical observation in the treatment of hemoptysis due to old age bronchiectasis by interventional treatment via electronic bronchoscopy

作　　者：李承红[1] 叶胜兰[1] 李红艳[1] 

机构地区：[1]江汉大学附属医院呼吸内科,湖北武汉430015

出　　处：《中国内镜杂志》2007年第5期499-501,共3页China Journal of Endoscopy

摘　　要：目的寻求治疗老年支气管扩张并咯血更有效的方法及药物。方法将90例老年支气管扩张并中、大量咯血患者随机分成3组。组1:肾上腺素液+凝血酶经电子支气管镜于出血部位局部灌注。组2:单用凝血酶(方法同上)。组3:垂体后叶素或氨甲环酸静脉点滴。结果3种治疗方法疗效差异有显著性(P<0.01);组1、组2的治疗方法优于组3(P<0.05);组1较组2疗效更优(P<0.05);且无明显不良反应。结论经电子支气管镜局部灌注凝血酶的止血效果优于静脉用药;肾上腺素液加凝血酶联合使用疗效优于单用凝血酶者。[Objective] To search and study a more effective and convenient method in the treatment of hemoptysis due to old age bronchiectasis. [Method] 90 moderate and severe hemoptysis due to old age bronchiectasis cases were divided into 3 groups randomly, Group 1 was infused with adrenaline and hemocoagulase via electronic bronchoscopy; Group 2 was infused with hemocoagulase only. Group 3 was injected hypophysine or tranexamic Acid intravenously. [Result] The treatment effect among the three groups had significant difference statistically （P 〈0.01）. The treatment effect of Group 1 and Group 2 was better than that of Group 3 （P 〈0.05）. The treatment effect of Group 1 was better than that of Group 2 （P 〈0.05）. [Conclusion] The combination of Adrenaline and hemocoagulase used via electronic bronchoscopy is an effective method in the treatment of hemoptysis due to old age bronchiectasis, it is better than single drug used.

关 键 词：支气管扩张/咯血 电子支气管镜 介入治疗 凝血酶 肾上腺素 

分 类 号：R562.22[医药卫生—呼吸系统]