中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
34-35
,共2页
张玉溪%王志新%夏玉红%陈宏民
張玉溪%王誌新%夏玉紅%陳宏民
장옥계%왕지신%하옥홍%진굉민
化学栓塞%介入治疗%咯血%治疗效果
化學栓塞%介入治療%咯血%治療效果
화학전새%개입치료%각혈%치료효과
Chemoembolization%Interventional therapy%Hemoptysis%Effect of treatment
目的：探讨支气管动脉栓塞治疗大咯血的疗效、安全性及并发症。方法：回顾分析因大咯血行支气管动脉栓塞介入治疗的76例患者。所有患者于回到病房开始进行观察。结果：76例患者采用明胶海绵或明胶海绵加微弹簧圈栓塞，所有患者均即刻止血，其中68例随访中未复发，治愈率89.47%。复发6例(7.9%)，肺癌4例，肺曲菌球病1例，肺动脉畸形1例。死亡2例，1例肺动脉畸形放弃治疗死亡，1例肺癌因多脏器功能衰竭而死亡。无严重并发症和不良事件发生。结论：支气管动脉栓塞介入治疗大咯血，即刻止血率高，效果确切，值得在临床工作中应用和推广。
目的：探討支氣管動脈栓塞治療大咯血的療效、安全性及併髮癥。方法：迴顧分析因大咯血行支氣管動脈栓塞介入治療的76例患者。所有患者于迴到病房開始進行觀察。結果：76例患者採用明膠海綿或明膠海綿加微彈簧圈栓塞，所有患者均即刻止血，其中68例隨訪中未複髮，治愈率89.47%。複髮6例(7.9%)，肺癌4例，肺麯菌毬病1例，肺動脈畸形1例。死亡2例，1例肺動脈畸形放棄治療死亡，1例肺癌因多髒器功能衰竭而死亡。無嚴重併髮癥和不良事件髮生。結論：支氣管動脈栓塞介入治療大咯血，即刻止血率高，效果確切，值得在臨床工作中應用和推廣。
목적：탐토지기관동맥전새치료대각혈적료효、안전성급병발증。방법：회고분석인대각혈행지기관동맥전새개입치료적76례환자。소유환자우회도병방개시진행관찰。결과：76례환자채용명효해면혹명효해면가미탄황권전새，소유환자균즉각지혈，기중68례수방중미복발，치유솔89.47%。복발6례(7.9%)，폐암4례，폐곡균구병1례，폐동맥기형1례。사망2례，1례폐동맥기형방기치료사망，1례폐암인다장기공능쇠갈이사망。무엄중병발증화불량사건발생。결론：지기관동맥전새개입치료대각혈，즉각지혈솔고，효과학절，치득재림상공작중응용화추엄。
Objective:To explore the efficacy,safety and complications of the bronchial artery embolization for the treatment of hemoptysis.Methods:We retrospective analyzed 76 cases with massive hemoptysis bronchial artery embolization.All cases were observed from back to the ward.Results:76 cases with gelatin sponge and gelatin sponge and microcoil embolization, all cases had immediate hemostasis. 68 cases were follow-up without recurrence,and the cure rate was 89.47%.6 cases were recurrence(7.9%), including 4 cases of lung cancer,1 case of pulmonary aspergilloma, and 1 case of pulmonary artery malformation. 2 cases died, 1 case of pulmonary artery malformation to abandon treatment death, 1 case of lung cancer because of multiple organ failure and death.No serious complications and adverse events.Conclusion:Immediate hemostasis rate of the treatment of massive hemoptysis by bronchial artery embolization of bronchial artery is high.The effect is exact.So it is worthy of promotion and application in clinical work.
