CAJ | 학술논문

目的对内科治疗不能有效止血的顽固性咯血患者,寻求效果肯定、快捷、安全的治疗方法 . 方法对56例顽固性咯血患者及时采用seldinger导管法行支气管动脉造影,并对出血病变血管予以明胶海绵(或)和 Fe304微粒或小号不锈钢圈作选择性栓塞,术后随访观察近期和远期疗效. 结果 56例中立即止血49例(87.50%),近期总有效率为100%.远期观察 1.5～11年,平均随访39.7个月,单纯明胶海绵栓塞者复发 2例,疗效持久巩固率为96.43%.结论支气管动脉造影并选择性病变血管栓塞疗法,对顽固性咯血疗效可靠,且快捷,安全,巩固;对明确病变血管形态异常者宜采用永久性材料或"双重"栓塞.
목적 대내과치료불능유효지혈적완고성각혈환자,심구효과긍정、쾌첩、안전적치료방법 . 방법 대56례완고성각혈환자급시채용seldinger도관법행지기관동맥조영,병대출혈병변혈관여이명효해면(혹)화 Fe304미립혹소호불수강권작선택성전새,술후수방관찰근기화원기료효. 결과 56례중립즉지혈49례(87.50%),근기총유효솔위100%.원기관찰 1.5～11년,평균수방39.7개월,단순명효해면전새자복발 2례,료효지구공고솔위96.43%.결론 지기관동맥조영병선택성병변혈관전새요법,대완고성각혈료효가고,차쾌첩,안전,공고;대명학병변혈관형태이상자의채용영구성재료혹"쌍중"전새.
Objective To study the safe, fast and confirm method for the treatment to the patient with the obstinate haemoptysis. Methods Observe 56 patients with the obstinate haemoptysis,treatment with bronchial artery angiography use Sedinger tube immediately ,and embolism the abonamal blood vessel with Spongy Gelatin Absorbent, ,Fe304 particle, or small size of stainless steel circle, observe the long term and short term effect. Results in all patients(56),there are 49 patients(87.50%) immediately stop bleeding ,the short term effect is 100%.observe1-9 years,average observe is 39.7 months ,there are 2 patients recurrence embolism with Spongy Gelatin Absorbent, the rate of effect is 96.43%. Conclusion the methods of bronchial artery angiography and embolism is a safe and fast treatment for the obstinate haemoptysis patient; for the patient that we have confirm the reason of the abnormal blood vessel, we use eternal material or "double" embolism.