选择性支气管动脉造影栓塞治疗16例老年大咯血疗效分析

An analysis on clinical effect of selected bronchial arteriography and embolism for 16 cases with heavy hemoptysis

目的:探讨支气管动脉造影栓塞治疗老年大咯血的临床疗效。方法:对16例老年大咯血患者采用选择性支气管动脉造影栓塞进行治疗。采用Seldinger法经皮动脉插管,作选择性支气管动脉造影,证实出血动脉后,用明胶海绵行支气管动脉栓塞。结果:14例即时止血,2例在15 h内出血停止。11例在栓塞后35 d又出现小量的咯血,2例在6个月后反复咯血,3例在1年后又出现痰血或间歇性痰中带血丝。结论:选择性支气管动脉造影栓塞术为治疗老年大咯血有效、安全的微创手术。

Objective： To investigate the clinical effect of selected bronchial arteriography and embolism （SBAE） for old patients with heavy hemoptysis. Methods： There were 16 cases enrolled in this series, SBAE was done on them with Seldinger＇s method,and gum sponge was used as embolia. Result： Hemoptysis stopped immediately in 14 cases and in the older 2 case, it gradually stopped in 15 h. This symptom occurred again in small volume in 35 h, in 11 cases, in 6 m in 2 cases, and in ly for 1 case. Conclusion： SBAE in an effective and safe mini invasive operation for hemoptysis in aged patients.