摘要
目的 :探讨支气管动脉栓塞治疗中脊髓损伤的防治措施。方法 :从 1991年 11月至 2 0 0 0年 10月对 342例大咯血患者进行了支气管动脉栓塞治疗。男性 2 17例 ,女性 12 5例。平均年龄 4 2岁 (18岁～ 71岁 )。基础病变分别为支气管扩张 (n=183) ,肺结核 (n=92 ) ,原发性肺癌 (n=6 7)。结果 :所有患者经治疗后 ,总有效率 91.6 % ,栓塞治疗后 ,无 1例患者出现脊髓损伤的严重并发症。结论 :熟悉支气管动脉的正常解剖和变异 。
Objective To report our experience with preventing spinal cordinjury related to bronchial arterial embolization.Methods FromNovenber 1991 to October 2000,342 patients underwentbronchial arterial embolization (BAE) for life threatening hemoptysis.There were 217 men and 125women with a meanage of 42 years.The most frequent etiologics of hemoptysis were bronchiectasis(n=183),active or inactive tuberculosis(n=92),orbronchogenic carcinoma(n=67).Result BAE resulted in animmediate cessation of hemoptysis in 313 of the initial 342 patients(91.6 %).After BAE,none of the patients had thecomplication of spinalcord injury.Conclusions To avoid thecomplication of spinal cord injury,it is important to be familiar with bronchial arterial anatomy and to adopt proper methods.
出处
《实用医技杂志》
2004年第08A期1400-1401,共2页
Journal of Practical Medical Techniques
关键词
支气管动脉
栓塞
咯血
脊髓
Bronchial artery
Embolization
Spinal cord
Hemoptysis
