支气管-肋间动脉联合栓塞治疗肺结核大咯血  

Combined bronchial-intercostal arterial embolization for treating heavy hemoptysis from pulmonary tuberculosis

作　　者：王志峰[1] 王立章 俞方荣 尤锦[3] 蒋伟浩[3] 

机构地区：[1]嘉兴市妇幼保健院,嘉兴314000 [2]浙江省嘉兴市第一人民医院,嘉兴314000 [3]浙江省嘉兴市第二医院,嘉兴314000

出　　处：《中国防痨杂志》2007年第3期244-246,共3页Chinese Journal of Antituberculosis

摘　　要：目的 探讨支气管-肋间动脉联合栓塞治疗肺结核大咯血的临床价值.方法 19例肺结核大咯血患者,行选择性支气管动脉和肋间动脉造影并对病变血管用2 mm手术丝线段进行栓塞.结果 19例咯血患者,共栓塞58支出血血管.其中行支气管动脉-肋间动脉联合栓塞17例,单独栓塞支气管动脉和肋间动脉各1例.17例联合栓塞患者24 h内咯血停止16例,即刻止血率94.2%（16/17）;1周内咯血停止1例;近期有效率100%（17/17）.2例单独栓塞支气管动脉或肋间动脉者止血无效.3～6个月内复发2例.无严重栓塞相关并发症发生.结论 支气管-肋间动脉联合栓塞是治疗肺结核大咯血的有效手段,具有止血迅速、复发率低及安全性高的优点.Objective To evaluate the clinical value of combined bronchial-intercostal arterial embolization （CBIAE） for treating heavy hemoptysis from pulmonary tuberculosis. Methods After the selective arteriography, arterial embolization with 2 mm silk thread was performed in 19 patients with heavy hemoptysis from pul- monary tuberculosis. Results In 19 patients, 58 responsible arteries were embolized. CBIAE was performed in 17 patients, and only bronchial arterial embolization was performed in 1 patient and only intercostal arterial embolization in another patient. Bleeding stopped within 24 hours in 16 patients of the 17 patients treated with CBIAE （94.18 % ） and bleeding stopped within one week in another patient. The total effective rate of CBIAE was 100% （17/17）. Only bronchial or only intercostal arterial embolization was ineffective in 2 patients. Recurrence of hemoptysis was found in 2 patients in 3 to 6 months. No serious complication related to embolization occured. Conclusion CBIAE is a fast, safe and effective way for treating heavy hemoptysis from pulmonary tuberculosis.

关 键 词：结核 肺 咯血 支气管动脉 肋间动脉 血管栓塞 

分 类 号：R521[医药卫生—内科学]