支气管动脉栓塞治疗急性大咯血  

Analysis of Bronchial Artery Embolization for Acute Massive Hemoptysis

作　　者：孙荣跃[1] 倪志华[1] 殷士蒙[1] 宋恬[1] 沈岚[1] 陆蓉[1] 杨皓[1] 吴勘华[1] 

机构地区：[1]复旦大学附属华东医院放射科

出　　处：《中国医学计算机成像杂志》2009年第3期271-273,共3页Chinese Computed Medical Imaging

摘　　要：目的:通过对支气管动脉栓塞治疗急性大咯血的分析,探讨支气管动脉栓塞治疗大咯血的效果及影响因素。方法:21例病人,共栓塞出血动脉34支,其中右支气管动脉18支,左支气管动脉13支,肋间动脉3支。栓塞材料为明胶海绵颗粒。结果:栓塞后,19例病人出血明显减少:2例术后第2天又有大咯血,治疗失败。治疗有效率90.5%(19/21)。结论:支气管动脉栓塞术是急性大咯血的安全、简便、有效的治疗手段。Purpose： To evaluate the influencing factors of acute massive hemoptysis treatment through the analysis of bronchial artery embolization for acute massive hemoptysis in 21 cases. Methods：Of the 21 cases, 34 bleeding arteries were embolized by gelatin- sponge, 18 of which were right bronchial arteries, 13 were left bronchial arteries and 3 were intercostal arteries. Results： Marked reduction of bleeding was seen in 19 patients after bronchial artery embolization, and failure to stop bleeding in 2 patients one day later. The responsive rate was 90.5% （19/21）. Conclusion： Bronchial artery embolization is a safe, simple and effective method for acute massive hemoptysis.

关 键 词：咯血 支气管动脉栓塞术 介入 放射学 

分 类 号：R56[医药卫生—呼吸系统]