CAJ | 학술논문

目的：探讨介入治疗在大咯血治疗中的价值。方法自2010年1月～2012年12月，我科共对34例大咯血患者进行了支气管动脉栓塞术，其中男23例，女11例，年龄27～81岁，平均56岁，出血原因包括支气管扩张、肺结核、肺癌、不明原因等。术后观察患者咯血情况是否消失。结果所有34例患者中，31例咯血停止，3例再次出现咯血，有效率91．2％（31/34），术后部分患者出现低热、肋间疼痛等症状，无严重并发症发生。结论介入治疗对内科保守治疗无效的咯血患者是一种安全、有效的方法。
목적：탐토개입치료재대각혈치료중적개치。방법자2010년1월～2012년12월，아과공대34례대각혈환자진행료지기관동맥전새술，기중남23례，녀11례，년령27～81세，평균56세，출혈원인포괄지기관확장、폐결핵、폐암、불명원인등。술후관찰환자각혈정황시부소실。결과소유34례환자중，31례각혈정지，3례재차출현각혈，유효솔91．2％（31/34），술후부분환자출현저열、륵간동통등증상，무엄중병발증발생。결론개입치료대내과보수치료무효적각혈환자시일충안전、유효적방법。
Objective To investigate the value of interventional therapy in the treatment of hemoptysis .Methods From January 2010 to December 2012 ,we completed a total of 34 cases of bronchial artery embolization for massive hemoptysis patients ,of which 23 cases were male ,11 cases were femal ,aged 27~81 years old ,with an average of 56 years old .The reasons included bronchiectasis ,tuberculosis ,lung cancer ,unexplained etc .The hemoptysis of patients would be observed after operation .Results All of the 34 patients ,31 patients with hemoptysis stopped ,3 patients bleed again .The efficien-cy was 91 .2% (31/34) .The low fever ,intercostals pain and other symptoms occurred in some patients after operation .No serious complications occurred .Conclusion Interventional treatment is a safe ,effective way to the hemoptysis patients with medical treatment .