介入治疗在大咯血中的应用

Interventional therapy of massive emptysis

目的评价支气管动脉栓塞术在大咯血治疗中的作用。方法35例大咯血患者,24h咯血量为300mL～1500mL,急诊行病灶供血支气管动脉栓塞术,栓塞材料为明胶海绵颗粒或聚乙烯醇(PVA)颗粒。结果35例患者支气管动脉栓塞术均成功,即刻止血26例(74.3%),出血明显减少9例(25.7%),总有效率100%,无特殊并发症发生。结论支气管动脉栓塞术是一种安全有效的大咯血治疗方法,可以作为临床上保守治疗无效后的首选治疗方法。

Objective To evaluate the role of bronchial artery, embolization（BAE）in controlling massive emptysis. Methods Thirty-five patients with massive emptysis（hemorrhagic quantity per day ranged from 300 mL to 500 mL） underwent BAE. Gelatin sponge granules or polyvinyl alcohol（PVA） granules were used as embolization agents. Results Massive hemoptysis of 26 patients（74.3 % ） was hemostatic immediately, hemoptysic quantity of 9 patients（25.7 % ）was reduced significantly. The total effective rate was 100 %. There were no severe complications related to the procedure. Conclusion BAE is a safe and effective means for controlling massive hemoptysis, especially in the patients failed from conservative treatment.