支气管动脉超选择性栓塞术治疗大咯血临床分析  

Clinnical analysis of superchance bronchial artery embolization for hemoptysis

作　　者：麻东辉[1] 

机构地区：[1]广州市花都区人民医院,广东广州510800

出　　处：《基层医学论坛》2010年第13期403-405,共3页The Medical Forum

摘　　要：目的探讨超选择性支气管动脉栓塞术治疗大咯血的方法和疗效。方法对37例大咯血患者行病灶供血支气管动脉栓塞术,栓塞材料为明胶海绵颗粒、聚乙烯醇(PVA)颗粒、钢圈,观察疗效。结果即刻止血30例(81.1%),出血明显减少7例(18.9%),总有效率100%,无特殊并发症发生。结论支气管动脉栓塞术是治疗大咯血的安全、有效、确切的治疗方法,而超选择性插管栓塞可作为临床首选。Objective To investigate the methods and curative effects of superselective bronchial artery embolization（BAE）in controlling massive hemoptysis.Methods 37 patients with massive hemptysis underwent BAE with gelatin spongergranules or polyvinyl alcoho（lPVA）or coil as embolization agents.Results Massive hemoptysis of 30 patients（89.2%）was hemostasia imm ediately.Hemoptysis quantity of 7 patients（8.1%）was reduced significantly.The total effective rate was 10O%with no special complications.Conclusion BAE is a safe and exact curative effective means for controlling hemoptysis.Superselective BAE is a more safe and effective procedure for treating of patients with hemoptysis.

关 键 词：大咯血 支气管动脉栓塞 介入治疗 肺 

分 类 号：R56[医药卫生—呼吸系统]