支气管动脉双重栓塞治疗大咯血22例  

Embolization of Both Bronchiolar and Bronchial Arteries in the Treatment of 22 Cases of Massive Hemoptysis

作　　者：韦国桢[1] 仲向东[1] 胡苏荣[1] 蒋国民[2] 赵进委[2] 

机构地区：[1]常州市第二人民医院呼吸内科,213003 [2]常州市第二人民医院介入放射科,213003

出　　处：《江苏医药》1998年第3期164-165,共2页Jiangsu Medical Journal

摘　　要：采用明胶海绵微粒与碎块行支气管动脉双重栓塞法治疗22例大咯血，一次成功率为91％，随访3个月的止血成功率95．5％。该法是用明胶海绵微粒对末梢血管和用明胶海绵碎块对主干先后栓塞的方法，同时阻断其丰富的末梢血管网络，切断支气管动脉与肺循环分流（B－P分流）的通道及主干血流，使栓塞更完全。Bronchial arteriography and double embolization is to block the peripheral terminal bronchiolarartery and then the bronchial artery with micro-particles of gelatin sponge and bigger gelatin sponge granules respectively. The blood flow from the artery trunk and from the blood-rich arterial branches which forms B,P bypass is blocked. By this way the embolizastion is more complete. Clinical observation of 22 cases shows that the successrate for the first setting reached 91 % and the success rate for three month follow-up was 95. 5%. It indicates that the massive hemoptysis could be stopyed by this method.

关 键 词：支气管动脉 咯血 栓塞疗法 

分 类 号：R441.7[医药卫生—诊断学]