吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
19期
4186-4187,4188
,共3页
支气管扩张%大咯血%介入治疗%栓塞
支氣管擴張%大咯血%介入治療%栓塞
지기관확장%대각혈%개입치료%전새
Bronchiectasis%Massive hemoptysis%Interventional therapy%Embolization
目的：探讨经导管介入治疗支气管扩张致咯血的疗效及价值。方法：36例大咯血患者经选择性支气管动脉造影后，对病变动脉采用微导管超选择性支气管动脉插管，用明胶海绵、弹簧钢圈、PVA颗粒进行栓塞止血，评价其临床疗效和安全性。结果：技术成功率为100%，出血控制率为88.9%（32/36），无严重相关并发症发生。结论：介入栓塞治疗是支气管扩张并大咯血患者安全、有效的治疗方法。
目的：探討經導管介入治療支氣管擴張緻咯血的療效及價值。方法：36例大咯血患者經選擇性支氣管動脈造影後，對病變動脈採用微導管超選擇性支氣管動脈插管，用明膠海綿、彈簧鋼圈、PVA顆粒進行栓塞止血，評價其臨床療效和安全性。結果：技術成功率為100%，齣血控製率為88.9%（32/36），無嚴重相關併髮癥髮生。結論：介入栓塞治療是支氣管擴張併大咯血患者安全、有效的治療方法。
목적：탐토경도관개입치료지기관확장치각혈적료효급개치。방법：36례대각혈환자경선택성지기관동맥조영후，대병변동맥채용미도관초선택성지기관동맥삽관，용명효해면、탄황강권、PVA과립진행전새지혈，평개기림상료효화안전성。결과：기술성공솔위100%，출혈공제솔위88.9%（32/36），무엄중상관병발증발생。결론：개입전새치료시지기관확장병대각혈환자안전、유효적치료방법。
Objective To evaluate the eficacy of interventional therapy for treatment of bronchiectasis with acute massive hemopty-sis. Method 36 patients with massive hemoptysis were treated with bronchial artery embolization using coils,polyvinyl alcohol( PVA)mi-crospheres,and gelatin sponge after the site of bleeding or the abnormal arteries were identified by arteriography. Super selective bronchial artery embolization was performed with a coaxial microcatheter inserted into the bronchial artery. Results The technical success rate was 100 %,while the control rate of hemorrhage was 88. 9 %( 32/ 36 ). NO serious complication. Conclusion It is a efective way to treat bronchiectasis with acute massive hemoptysis using interventional embolization therapy.
