经皮穿刺动脉栓塞术治疗支气管扩张合并急性大咯血(附4例报告)  

Bronchiectasis associated with acute hemoptysis:embolization of bronchial artery (report of 4 cases)

作　　者：杨秋红[1] 吕维富[1] 许实成[1] 何玉圣[1] 

机构地区：[1]安徽省立医院放射科,安徽合肥230001

出　　处：《医学影像学杂志》2002年第6期432-434,共3页Journal of Medical Imaging

摘　　要：目的 :探讨支气管动脉栓塞 (BAE)治疗支气管扩张合并急性大咯血的疗效。方法 :4例支气管扩张合并急性大咯血的患者均急诊行BAE ,栓塞剂采用明胶海绵颗粒 (1.0mm× 1.0mm× 1.0mm)及 2mm长真丝微粒 ,其中 2例行 2次BAE治疗 ;所有患者随访 8～ 2 1月。结果 :所有患者支气管动脉栓塞后即刻止血 ,近期疗效显著 ,单纯采用明胶海绵栓塞的 1例患者在 2月后咯血复发。结论 :支气管动脉栓塞术是目前治疗支气管扩张合并急性大咯血的首选治疗方法 ,尤以真丝微粒作为栓塞材料为佳。Objective:To investigate the efficiency of bronchial arterial embolization in patients of bronchiectasis with severe acute hemoptysis.Methods:4 cases of bronchiectasis with acute and massive hemoptysis were treated by bronchial arterial embolization with gelfoam prticles and silk segments,and two of them had been treated by BAE for twice.All of them were followed up for 8-21 months.Results:4 patients underwent bronchial artery embolization.The effect of immediate hemostasis was determined,the short-time curative role was significant,one patient recurred 2 months later.Conclusion:5'BZBronchial artery embolization was best choice to treat bronchiectasis with acute massive hemoptysis.

关 键 词：合并症 介入治疗 经皮穿刺动脉栓塞术 支气管扩张 急性大咯血 

分 类 号：R562.22[医药卫生—呼吸系统] R815[医药卫生—内科学]