CAJ | 학술논문

目的探讨大咯血病灶的多血供特点及多血管栓塞的临床价值.方法收集经内科治疗无效的大咯血患者44例,在DSA下进行多血管造影及栓塞治疗,回顾性分析其血供特点、栓塞方法和临床疗效.结果 44例病例栓塞1支血管9例,2支血管18例,3支血管14例,4支血管3例.43例患者术后出血即减少或停止.1例术中死亡.2例术后1周内复发,再次介入栓塞后好转.结论大咯血病灶血供复杂,介入治疗中多血管造影及栓塞对反复或严重大咯血的定位诊断和治疗具有重要意义,值得临床推广应用.
목적 탐토대각혈병조적다혈공특점급다혈관전새적림상개치.방법 수집경내과치료무효적대각혈환자44례,재DSA하진행다혈관조영급전새치료,회고성분석기혈공특점、전새방법 화림상료효.결과 44례병례전새1지혈관9례,2지혈관18례,3지혈관14례,4지혈관3례.43례환자술후출혈즉감소혹정지.1례술중사망.2례술후1주내복발,재차개입전새후호전.결론 대각혈병조혈공복잡,개입치료중다혈관조영급전새대반복혹엄중대각혈적정위진단화치료구유중요의의,치득림상추엄응용.
Objective To discuss the characteristics of multiple blood supplies and the significance of multiple intra-arterial embolization in massive hemoptysis. Methods Forty-four patients with massive hemoptysis underwent digital subtraction angiography (DSA) and intra-arterial embolization after ineffective medical treatment. The characteristics of blood supply of lesions,the methods of intra-arterial embolization and the clinic efficacy were retrospectively analyzed. Results All the patients, one artery was embolized in 9 patients,2 arteries were embolized in 18,3 in 14 and 4 in 3. The hemoptysis decreased or ceased immediately after intra-arterial embolization in 43 patients and recurrence within lweek in 2,which were controlled with additional emblization. 1 patient died in surgery. Conclusion The lesions of massive hemoptysis had complicated blood supplies,and multiple intra-arterial embolization was very important.