顽固性咯血支气管动脉造影及栓塞方法与疗效研究  

Research the method and effect of bronchial artery angiography and embolism for the obstinate haemoptysis patient

作　　者：赵国厚[1] 袁开芬[1] 范敏娟[1] 杨建华[1] 温林俏[1] 

机构地区：[1]昆明医学院第二附属医院干部医疗和老年呼吸病科,昆明650101

出　　处：《中国医疗前沿》2009年第14期24-24,45,共2页China Healthcare Innovation

摘　　要：目的对内科治疗不能有效止血的顽固性咯血患者,寻求效果肯定、快捷、安全的治疗方法。方法对56例顽固性咯血患者及时采用seldinger导管法行支气管动脉造影,并对出血病变血管予以明胶海绵(或)和Fe304微粒或小号不锈钢圈作选择性栓塞,术后随访观察近期和远期疗效。结果56例中立即止血49例(87.50%),近期总有效率为100%。远期观察1.5～11年,平均随访39.7个月,单纯明胶海绵栓塞者复发2例,疗效持久巩固率为96.43%。结论支气管动脉造影并选择性病变血管栓塞疗法,对顽固性咯血疗效可靠,且快捷,安全,巩固;对明确病变血管形态异常者宜采用永久性材料或"双重"栓塞。Objective To study the safe, fast and confirm method for the treatment to the patient with the obstinate haemoptysis. Methods Observe 55 patients with the obstinate haemoptysis,treatment with bronchial artery angiography use Sedinger tube immediately ,and embolism the abonamal blood vessel with Spongy Gelatin Absorbent, ,Fe304 particle, or small size of stainless steel circle, observe the long term and short term effect. Results in all patients（56）,there are 49 patients（87.50%） immediately stop bleeding ,the short term effect is 100%.observel-9 years,average observe is 39.7 months ,there are 2 patients recurrence embolism with Spongy Gelatin Absorbent, the rate of effect is 96.43%. Conclusion the methods of bronchial artery angiography and embolism is a safe and fast treatment for the obstinate haemoptysis patient, for the patient that we have confirm the reason of the abnormal blood vessel, we use eternal

关 键 词：咯血 支气管动脉 造影 栓塞 

分 类 号：R56[医药卫生—呼吸系统]