超选择支气管动脉药物联合栓塞术治疗肺大咯血43例

The Underwent Superselective Bronchial Artery Embolization with Durg to Control Massive Pulmonary Hemoptysis 43 Cases

目的探讨超选择支气管动脉药物联合栓塞术治疗肺大咯血的临床价值。方法对43例肺大咯血患者使用同轴微导管行支气管动脉超选择插管造影确定血供,在病灶局部注射巴曲酶2ü+地塞米松5mg,然后对病变血管进行栓塞。全部病例随访6～18个月。结果即刻止血35例,咯血明显减少5例,有效率93.0%(40/43);3例发生再次咯血,复发率7.0%(3/43),复发患者经再次栓塞后,未出现咯血。全部病例均无严重并发症(如脊髓损伤、食管支气管瘘、误栓等)发生。结论超选择支气管动脉药物联合栓塞术治疗肺大咯血疗效显著,可有效减少复发率,提高治疗效果。

Objective The bronchial artery embolization（BAE） is an controlling massive bemoptysis. Objective To investitage the value of effective and safe procedure for the underwent superselective bronchial artery embolization with Durg to control Massive pulmonary hemoptysis. Rothods 43 patients underwent superselective bronchial arteriography and embolized the abnormal vessels, befor BAE bronchial artery Local infusion with batroxobin 2u ＋ Dexamethasone 5 mg. All patients were follow 6-18 months. Results Immediate arrest hemoptysis were 35 cases, marked reduce bleeding were 5 cases, repeated hemoptysis were 3 cases. Effect rate was 93.0^（40/43）, repeated rate was 7.0%（3/43）. Severly complication （spinal coard injury） did not ocare in all the patient. Conclusion The effect of superselective bronchial artery embolization with Durg is evidentant to massive heaoptysis.