经支气管动脉介入治疗儿童咯血的临床疗效研究  

Transcatheter bronchial artery interventional treatment of hemoptysis in children:a clinical study

作　　者：刘帆[1] 刘新献[1] 李亮[1] 王立丹[1] 范晶[1] 黄穗[1] 

机构地区：[1]湖北武汉武汉市妇女儿童医疗保健中心影像中心,430016

出　　处：《介入放射学杂志》2012年第11期945-948,共4页Journal of Interventional Radiology

摘　　要：目的探讨经支气管动脉介入治疗儿童咯血的近远期疗效及常见并发症的原因。方法在DSA引导下对10例内科治疗效果不佳的不同原因咯血患儿行支气管动脉、肺动脉造影，并行支气管动脉药物灌注及栓塞治疗；8例患儿栓塞剂用明胶海绵颗粒，2例用明胶海绵条联合弹簧圈。结果10例患儿均成功手术。其中，支气管动脉栓塞治疗后即刻止血8例；1例咯血明显减少，经内科保守治疗3—5d后咯血停止：1例咯血减少不明显，经2次栓塞治疗后咯血停止。所有病例均未发生脊髓损伤及异位栓塞等严重并发症。结论支气管动脉介入治疗儿童咯血，具有微刨、止血快、疗效好、并发症少等优点，可作为内科保守治疗无效时的首选治疗方法。Objective To evaluate the short-term and long-term efficacy of transcatheter bronchial artery interventional treatment for hemoptysis in children, and to discuss the cause for complications. Methods Bronchial artery and pulmonary artery angiography with DSA were performed in 10 children with hemoptysis of unknown reason, and bronchial artery drug infusion and embolization were simultaneously carried out. Gelatin sponge particles used as the embolization agent was employed in 8 children and Gelatin sponge thread combined with coils was adopted in two children. Results Technical success was achieved in all 10 children. Immediate hemostasis after interventional management was obtained in 8 cases. Obvious relief of hemoptysis was seen in one case, and the hemoptysis stopped after conservative treatment for 3 - 5 days. One patient had to receive second embolization as the hemoptysis showed no improvement. No serious complications such as spinal damage or ectopic embolism occurred in all patients. Conclusion Transcatheter bronchial artery interventional treatment for hemoptysis in children is minimally-invasive, effective and fast- hemostatic with fewer complications. Therefore, this technique can be employed as the therapy of first choice when conservative measures fail to control the hemoptysis.

关 键 词：儿童咯血 支气管动脉介入治疗 疗效 

分 类 号：R725.6[医药卫生—儿科]