经支气管动脉栓塞治疗大咯血  

Bronchi artery embolization in treatment of serious hemoptysis

作　　者：李郁芳[1] 叶荣臻[1] 张晖[2] 李宇东[1] 张平[3] 肖国文[4] 张静[1] 

机构地区：[1]中国航天科技集团公司总医院影像中心,北京100076 [2]国航天科技集团公司总医院影像中心 [3]中国航天科技集团公司总医院呼吸内科 [4]首都医科大学附属北京友谊医院放射科

出　　处：《中国航天医药杂志》2002年第3期14-15,共2页Medical Journal of CASE

摘　　要：目的探讨支气管动脉栓塞术治疗大咯血的疗效。方法对18例大咯血病人行急诊支气管动脉栓塞术(BAE),其中单纯用明胶海绵(GS)栓塞7例,GS加真丝线段(ST)栓塞10例,单纯用聚乙烯醇(PVA)颗粒栓塞1例。结果18例中16例立即止血,1例4天后止血,1例失败。GS栓塞组1例9月后复发。结论经支气管动脉栓塞治疗大咯血安全、有效,复发率低。Objective To discuss the effect of bronchi arteries embolization(BAE) to treat serious hemoptysis. Methods 18 patients with serious hemoptysis were taken emergent select BAE. Only gelatinum sponge(GS) were used in 7 cases, Both GS and silk thread(ST) were used in 10 cases and only polyvinyl alcohol(PVA) was used in 1 case. Result 16 cases were stanched immediately, one case stopped bleeding 4 days late, one failed and one recurred in 9 months. Conclusion The bronchi artery embolization in the treatment of serious hemoptysis is safety and effective, and the recurring rates is low.

关 键 词：经支气管动脉栓塞 治疗 大咯血 术后处理 

分 类 号：R560.4[医药卫生—呼吸系统]