CAJ | 학술논문

目的总结并推广成功的大咯血治疗经验.方法分析2012年至2013年急诊手术治疗14例大咯血患者的诊治规程与转归情况,尤其是支气管镜和体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)在大咯血治疗中的应用方法.男8例,女6例;年龄27～ 64岁,平均(45±18)岁.结果对14例大咯血患者进行规范、快速的急诊手术治疗.术后随访4～ 20个月,14例患者均无再发咯血.结论针对大咯血患者的规范、快速的急诊手术治疗,辅以支气管镜检查及ECMO,可以有效地治疗大咯血以改善患者预后.
목적 총결병추엄성공적대각혈치료경험.방법 분석2012년지2013년급진수술치료14례대각혈환자적진치규정여전귀정황,우기시지기관경화체외막폐양합(extracorporeal membrane oxygenation,ECMO)재대각혈치료중적응용방법.남8례,녀6례;년령27～ 64세,평균(45±18)세.결과 대14례대각혈환자진행규범、쾌속적급진수술치료.술후수방4～ 20개월,14례환자균무재발각혈.결론 침대대각혈환자적규범、쾌속적급진수술치료,보이지기관경검사급ECMO,가이유효지치료대각혈이개선환자예후.
Objective To promote the successful treatments of massive hemoptysis by summarizing the clinical data of 14 patients receiving surgery.Methods 14 cases of massive hemoptysis were retrospectively analysed,Eight male and 6 femal,aged 27-64 (45 ± 18) years including the application of CT,bronchoscopy and extracorporeal membrane oxygenation (ECMO).Results 14 patients received preoerative bronchoscopy and emergency operation.In addition,hymoptysis had not occurred after the surgery in these cases.Conclusion The standardized clinical pathways for massive hemoptysis and the application of preoerative bronchoscopy is essential for emergency treatment of massive hemoptysis.