支气管动脉造影血管与反复性咯血栓塞方法的研究  

作　　者：欧仕洪[1] 贾云岭[1] 欧阳志和[1] 晏正光[1] 谢春汉[1] 廖文凤[1] 

机构地区：[1]湖南衡阳解放军第169医院放射科,421002

出　　处：《当代医学》2012年第27期19-20,共2页Contemporary Medicine

摘　　要：目的探讨呼吸内科不能有效止血及介入治疗后复发咯血的病因,从而寻找有效的治疗技术及手段。方法 2008年10月～2011年11月期间,对13例顽固性咯血内科治疗无效的患者行第二次介入治疗,对病变区支气管动脉及侧肢血管供血造影,如胸廓内外动脉、腹腔动脉、膈下动脉进行选择造影,选择性应用栓塞剂,栓塞出血动脉。结果咯血13例中支气管动脉出血再通有4例,6例栓塞了支气管动脉出血的主干道,另外2支小动脉参与病灶的血供并发出血。其他的8例再次寻找为其他异位供血动脉。随访3个月～1.5年,13例患者都未见复发。结论 有效栓塞病灶血供及其他异位供血动脉,以及介入栓塞后同时治疗咯血的原发病,能提高介入栓塞治疗大咯血远期疗效。Objective To discuss the reason of hemoptysis that cannot stopped by respiratory medication or recur after interventional therapy and to find effective treatment technology and methods. Methods During 2008 Oct-2011 Nov. observe 13 patients with obstinate hemoptysis treated by the second interventional therapy, visualize the branchial artery and collateral blood vessels（such as internal and external thoracic artery ,celiac artery and inferior phrenic artery） of the diseased region, embolize bleeding vessels by embolism selectively. Results Among 13 cases hemoptysis, 4 cases with branchial arterial hemorrhage reeanalize, 6 cases with artery trunk embolized, 2 other arterioles supplying the blood bleed, other 8 cases because of heterotopic feeding artery. Follow up 3 months to 1.5 years, none of the 13 patients recur. Conclusion Embolization of blood supply of diseased region and heterotopic feeding artery, or treat the primary disease after interventional embolism can improve prostecdtive efficacy of the interventional therapy for hemoptysis.

关 键 词：大咯血 栓塞复发 动脉性 介入放射学 

分 类 号：R56[医药卫生—呼吸系统]