肺部感染性病变所致支源性咯血的介入治疗  

Interventional treatment of pulmonary infections-derived branch hemoptysis

作　　者：朱甲峰[1] 徐锐[1] 刘加强[2] 

机构地区：[1]日照市人民医院介入放射科,山东日照276826 [2]日照市人民医院血液内科,山东日照276826

出　　处：《中华医院感染学杂志》2012年第19期4233-4234,4242,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨肺部感染性病变所致支源性咯血的介入治疗效果。方法选取2008年1月-2011年11月于医院进行治疗的52例患者为研究对象,将其随机分为对照组(静脉用药治疗组)和观察组(介入治疗组),各26例,将两组治疗总有效率、不良反应发生率、不同出血量的治疗效果及复发率、生存质量进行比较。结果咯血量<300、300～600、>600ml治疗有效率,观察组分别为100.00%、100.00%、80.00%,对照组分别为85.71%、92.31%、66.67%,观察组不良反应发生率为3.85%、复发率为0,对照组发生率为11.54%,复发率为7.69%,观察组低于对照组,差异均有统计学意义(P<0.05)。结论肺部感染性病变所致支源性咯血的介入治疗效果非常突出,且安全性也较高,对于改善患者的生存状态有着积极的作用。OBJECTIVE To investigate the effect of the interventional treatment of the pulmonary infection lesions-derived branch hemoptysis.METHODS A total of 52 patients treated in the hospital from Jan 2008 to Nov 2011 were chosen as the research objects.They were divided into the control group of 26 cases（intravenous drug use,treatment group） and the observation group of 26 cases（intervention group）.The total treatment efficacy,incidence of adverse reactions,treatment effect of bleeding,recurrence rate and quality of life were compared.RESULTS For the patients with different amount of bleeding 300 ml,300-600ml,and 600ml,the overall effective rates of the observation group were 100.00%,100.00%,80.00%,96.15%,respectively,higher than 85.71%,92.31%,and 66.67% o the control group;the incidence of the adverse reactions was 3.85%,lower than 11.54% of the control group,the recurrence rate of the observation group was 0,lower than 7.69% of the control group,the differences were statistically significant（P0.05）.CONCLUSION The interventional treatment is very effective and safe in treatment of pulmonary infection lesions-derived branch hemoptysis,it plays a positive role in improving the survival status of patients.

关 键 词：肺部感染性病变 支源性咯血 介入治疗 效果 

分 类 号：R181.32[医药卫生—流行病学]