支气管动脉栓塞治疗大咯血的应用价值  

Application value of bronchial arterial ambolization in treating massive hemoptysis

作　　者：方江平[1] 石奇[1] 戴家应[1] 

机构地区：[1]安徽省安庆市立医院放射科,安徽安庆246003

出　　处：《安徽医药》2013年第1期74-75,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨支气管动脉栓塞术(BAE)治疗支气管扩张等大咯血的临床应用价值。方法对23例非肿瘤性大咯血的支气管动脉造影及支气管动脉栓塞治疗进行回顾性总结评价。结果 23例中22例患者BAE术后咯血完全停止,1例BAE术后3 h再发少量咯血,予内科保守治疗3 d后咯血停止,总有效率100%。所有病例均未发生严重并发症。结论支气管动脉栓塞术不仅是治疗支气管扩张等大咯血有效方法,而且安全、微创,可作为临床首选治疗手段。Objective To investigate the clinical value of bronchial arterial ambolization（BAE）in treatment of acute bronchiectasis hemoptysis.Methods A total of 23 patients with non-tumor massive hemoptysis were recruited with bronchial arteriograghy and bronchial arterial ambolization for retrospective evaluation.Results Among the 23 cases,the hemoptysis was fully stopped in 22 cases after operation;recurrence of smallness hemoptysis was found in 1 case after 3 hours by BAE,but the hemoptysis was stopped with medicine after 3 days.The total effective power is 100%.In all the cases no serious complications occurred.Conclusion Bronchial arterial ambolization is not only an effective procedure method but also a safe and less invasive method in treating massive hemoptysis.

关 键 词：大咯血 支气管动脉 介入治疗 栓塞 

分 类 号：R56[医药卫生—呼吸系统]