大咯血对支气管镜诊疗操作相关出血的影响  

The effect of short-term massive hemoptysis on the procedure-related bleeding of bronchoscopy

作　　者：彭德虎[1] 谢艺开[1] 卢笑微[1] 卢燕云[1] 李映文[1] 罗玮[1] 刘苏东[1] 韦曼林[1] 刘红英[1] 胡锦兴[2] PENG Ddehu;XIE Yikai;LU Xiaowei;LU Yanyun;LI Yingwen;LUO Wei;LIU Sudong;WEI Manlin;LIU Hongying;HU Jinxing(The Endoscopy Center of Guangzhou Chest Hospital,Guangzhou 510095,China;The Department of Tuberculosis,Guangzhou Chest Hospital,Guangzhou 510095,China)

机构地区：[1]广州市胸科医院内镜中心,广州510095 [2]广州市胸科医院结核科,广州510095

出　　处：《广州医药》2020年第3期98-101,共4页Guangzhou Medical Journal

基　　金：广东省自然基金(2016A030310107);广州市高水平临床重点专科和培养专科建设项目(穗卫函[2019]1555号)。

摘　　要：目的探讨近期大咯血对支气管镜诊疗操作相关出血的影响。方法回顾性分析2015年12月—2019年12月我院支气管镜操作导致出血超过30 mL患者的临床资料,根据近1周是否发生大咯血,分为观察组(大咯血组)和对照组(无大咯血组),比较2组间的出血量以及大出血、血凝块、窒息的发生率。结果观察组的出血量以及大出血的发生率高于对照组,2组间差异有统计学意义,血凝块、窒息的发生率两组间差异无统计学意义。结论近期大咯血的患者支气管镜操作发生大出血的风险高。Objective To explore the effect of short-term massive hemoptysis on the procedure-related bleeding of bronchoscopy.Methods The clinical data of patients with more than 30 mL bleeding caused by bronchoscopy operation in Guangzhou Chest Hospital from December 2015 to December 2019 were analyzed retrospectively.According to whether massive hemoptysis occurred in the past week,the patients were divided into observation group(massive hemoptysis group)and control group(no massive hemoptysis group).The bleeding volume,the incidence of massive hemorrhage,blood clot and asphyxia were compared between the two groups.Results The amount of bleeding and the incidence of massive hemorrhage in the observation group were higher than those in the control group,that there was a statistical significance between the two groups.There was no statistical significance between the two groups in the incidence of blood clots and asphyxia.Conclusion Patients with recent massive hemoptysis have a higher risk of massive haemorrhage due to bronchoscopy.

关 键 词：大咯血 支气管镜 出血 窒息 

分 类 号：R459.7[医药卫生—急诊医学]