支气管动脉栓塞术治疗大咯血  

Efficacy of bronchial artery embolization in treating heavy hemoptysis

作　　者：赵惠[1] 徐乃勋[1] 马卫军[1] 孙婕[1] 

机构地区：[1]天津市胸科医院影像科,天津市300051

出　　处：《实用医学影像杂志》2002年第1期10-12,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨支气管动脉栓塞术对各种原因所致大咯血的治疗效果。方法7例患者包括结核性支扩2例,肺癌1例,支气管扩张症4张,咯血史3天～2年,全部病例术前经胸部平片、CT诊断。术中,行选择性支气管动脉造影,确认病变部位后经导管送入栓塞材料,其中3例使用金属弹簧圈,4例使用明胶海棉。结果全部患者于栓塞前,咯血量50～1000ml/天,经栓塞后即刻止血。2例偶有痰中带血,随访1～14个月,无大咯血复发及并发症。结论使用支气管动脉栓塞术是治疗大咯血的有效方法,成功率高,创伤小,临床效果满意。Objective To study the efficacy of bronchial artery embolization in the management of hemoptysis.Methods All cases were diagnosed by chest X-ray and CT.The lesions were defined by selective bronchial arteriography and the embolizing agents were carried to the position through catheter.Metal sping ring was used in 3 patients,gelfoam was used in other 4 patients.Results Altogether there were 7 patients,including 2 tuberculous bronchiectasis,1 carcinoma and 4 bronchiectasis in the study.The amount of hemoptysis was 50～1000 ml/day for 3 days～2 years before the operation.Hemoptysis were immediately controlled in 7 cases.The post operative course was no complication and recurrence over the 1～14 month follow-up period,besides 2 cases bloodtinged sputum occasionally.Conclusion Bronchial arterial embolization is an effective method in treating severe hemoptysis.

关 键 词：支气管动脉 咯血 栓塞治疗 

分 类 号：R815[医药卫生—放射医学] R562.2[医药卫生—临床医学]