支气管扩张症大咯血的急诊外科治疗  

Emergency surgical treatment for the patients with massive hemoptysis induced by bronchiectasis

作　　者：谢模彦[1] 刘小玲[1] 梅京松[1] 何德林[1] 孙成耘[1] 崔丰和[1] 

机构地区：[1]华中科技大学同济医学院荆州医院胸心外科,湖北荆州434020

出　　处：《中国急救医学》2007年第8期731-733,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的总结支气管扩张症大咯血术前病变定位、手术适应证和急诊外科治疗经验。方法回顾性分析30例支气管扩张症大咯血术前临床诊断及急诊外科治疗的临床资料。结果全组1例死亡,1例术后5h患者再发咯血二次手术,2例支气管动脉栓塞术后2d内咯血复发急诊手术,术后咯血均控制。另2例双肺病变术后半年及1年大咯血再发而行二次手术。结论外科急诊肺切除治疗支气管扩张症有效、可靠。准确判定咯血部位、确定病变范围和程度对决定手术方式和手术疗效至关重要。Objective To summarize the experience of the location of preoperative hemoptysis lesion, operative indication, emergency surgical treatment for the patients with imassive hemoptysis induced by bronchiectasis. Methods Clinical data of 30 cases with massive hemoptysis induced by bronchiectasis were analyzed retrospectively. Results After the operation, one case died. The following cases all accepted the second operation because of hemoptysis recurrence, one case within 5 h after the operation of pulmonary lobectomy, 2 cases within 2 days after the operation of bronchial artery embolization, 1 case within six months and 1 case within one year after the operation of two lung lesion. Conclusion Surgical treatment of massive hemoptysis induced by bronchiectasis is effective. To locate accurately the position of hemoptysis and the scope of bronchiectasis lesion were key factor for successful operation.

关 键 词：支气管扩张症 大咯血 急诊 外科治疗 

分 类 号：R655.3[医药卫生—外科学]