同轴微导管在治疗支气管扩张大咯血中的应用  

Application of coaxial catheterization with micro-catheter in treatment of bronchiectasis with massive hemoptysis

作　　者：张为忠[1] 纪霞[1] 

机构地区：[1]山东省青岛市市立医院,山东青岛266011

出　　处：《中国现代医学杂志》2008年第13期1914-1916,共3页China Journal of Modern Medicine

摘　　要：目的探讨同轴微导管在支气管动脉栓塞术治疗支气管扩张大咯血的应用范围、临床效果及与并发症的关系。方法支气管扩张大咯血患者23例,经保守治疗无效后采用同轴微导管行支气管动脉栓塞术,栓塞材料为高温高压处理后的明胶海绵,术后随访0.25～2a。结果有效率为100%。未出现严重并发症。结论支气管动脉栓塞术是治疗急性大咯血的首选方法,同轴微导管的应用可使栓塞的靶向性更强、栓塞更彻底,并能有效地防止严重并发症的发生。[Objective] To study the using area, clinic effect and relationship with complication of bronchial artery embolization by coaxial micro-catheter in treatment of massive hemoptysis. [Methods] 23 cases suffering from bronchiectasis with massive hemoptysis were embolized with micro-catheter after internal medical treatment but inefficacy. The embolism material was gelfoam treated with high pressure and high temperature. All cases were followed up 2 months-3 years after operation. [Results] Efficiency is 100%. No severe complication appears. [Conclusion] Bronchial artery embolization is the first method of treatment for acute massive hemoptysis. Application of coaxial catheterization with micro-catheter may have the advantages as more exact target, complete mobilization, effective prevention of severe complication.

关 键 词：咯血 支气管动脉 栓塞 同轴导管 介入治疗 

分 类 号：R652.22[医药卫生—外科学]