支气管动脉栓塞术治疗急性致命性大咯血的临床疗效  

Clinical efficacy of bronchial artery embolization in the treatment of acute massive life-threatening hemoptysis

作　　者：杜晶磊 于世平[2] 

机构地区：[1]山西医科大学,山西太原030001 [2]山西医科大学第二医院介入治疗科,山西太原030001

出　　处：《当代医学》2018年第6期36-38,共3页Contemporary Medicine

摘　　要：目的探讨支气管动脉栓塞术治疗急性致命性大咯血的临床价值。方法回顾性分析了本院2016年1月~2017年1月急诊收治的18例急性致命性大咯血患者,并对其急诊行支气管动脉栓塞术。结果 11例患者24 h内显效,4例好转,3例无效,有效率为83.3%(15/18)。术中发现责任血管共54支包括37%(20/54)的支气管动脉和63%(34/54)的肺外体循环动脉。3例患者栓塞后出现轻度胸痛症状,其余未发生严重并发症。结论支气管动脉栓塞术是治疗急性致命性大咯血安全有效的重要手段,且并发症少。Objective To explore the clinical value of the bronchial artery embolization in the treatment of acute massive life-threatening hemoptysis.Methods To retrospectively analysis of 18 cases of acute massive life-threatening hemoptysis in our hospital from January 2016 to January2017,and emergency treatment of bronchial artery embolization.Results 11 cases were markedly effective in 24 h,4 cases improved,3 cases were ineffective,and the effective rate was 83.3%(15/18).A total of 54 vessels were found in the procedure,including 37%(20/54) bronchial arteries and63%(34/54) the extrapulmonary systemic arteries.3 patients had mild chest pain after embolization,and no serious complications occurred in other.Conclusion Bronchial artery embolization is an effective and safe method in the treatment of acute massive life-threatening hemoptysis,with less complications.

关 键 词：致命性大咯血 支气管动脉 栓塞 

分 类 号：R655.3[医药卫生—外科学]