CAJ | 학술논문

目的评价明胶海绵栓塞支气管动脉对大咯血病人的疗效。方法利用明胶海绵栓塞52例大咯血或顽固性咯血病人的支气管动脉，其中45例栓塞单支支气管动脉，3例栓塞同侧两支支气管动脉，4例行双侧支气管动脉栓塞。52例病人，其中肺结核38例，支气管扩张9例，肺癌4例。支气管动静脉畸形出血1例。结果经3个月～9年的随访，47例栓塞后咯血完全控制，4例仍有间断性痰中带血，但出血量明显减少，出血间隔时间延长。1例支气管动静脉畸形栓塞后出血停止，但48 h后发生急性大咯血窒息死亡。结论明胶海绵栓塞支气管动脉是治疗大咯血和顽固性咯血的有效手段。
목적평개명효해면전새지기관동맥대대각혈병인적료효。방법이용명효해면전새52례대각혈혹완고성각혈병인적지기관동맥，기중45례전새단지지기관동맥，3례전새동측량지지기관동맥，4례행쌍측지기관동맥전새。52례병인，기중폐결핵38례，지기관확장9례，폐암4례。지기관동정맥기형출혈1례。결과경3개월～9년적수방，47례전새후각혈완전공제，4례잉유간단성담중대혈，단출혈량명현감소，출혈간격시간연장。1례지기관동정맥기형전새후출혈정지，단48 h후발생급성대각혈질식사망。결론명효해면전새지기관동맥시치료대각혈화완고성각혈적유효수단。
Objective　To evaluate the role of bronchial arterial embolization in controlling hemoptysis.Methods　Bronchial arterialembolization with Gelfoam was performed in 52 patients with hemoptysis (pulmonary tuberculosis 38 cases,bronchiectasis 9 cases,pulmonary carcinoma 4 cases,bronchial arteriovenous malfomation 1 case).Single bronchial artery was embolizated in 45 patients,isolateral 2 bronchial arteries in 3 patients,and bilateral bronchial arteries in 4 patients.Results　During follow-up between 3 monthes and 9 years,hemoptysis was controlled completely in 47 patients,and 4 patients still had little hemoptysis but prolonged intervals.There was 1 patient with AVM died of acute hemoptysis 48 hours later,although his hemoptysis was controlled provisionally after embolization.Conclusion　Embolization of bronchial artery with Gelfoam is effective method for controlling refractory hemoptysis.