支气管动脉灌注-栓塞法治疗肺咯血的临床应用

A Clinical Application of Bronchial Artery Infusion-Embolization in Severe Hemoptysis from Lung

目的:研究平阳霉素溶液灌注支气管动脉后加明胶海绵颗粒(条)栓塞支气管动脉分支及主干治疗肺咯血的临床价值。方法:32例经内科治疗无效的咯血患者对其支气管动脉、肋间动脉或胸廓内动脉等供血动脉行灌注-栓塞法治疗。全部随访6个月以上。结果:有效率为100%,治愈率为62.5%。未出现1例严重并发症。结论:灌注-栓塞法对内科治疗无效的肺咯血患者是一种更为有效、安全、简便的治疗方法。

Objective：To explore the clinical effect of bronchial artery brancnes together with pingyangmycin and embolization with gelfoam particles （strips）on repeated hemoptysis. Methods：Thirty-two patients with hemoptysis were performed infusion-embolization therapy of the bronchial artery branches, intercostal artery and internal thoracic artery. All patients were followed up for more than six months. Results： The effective rate was 100%. The cure rate was 62.5%. No-serious complication was found. Conclusion： Bronchial artery infusion-embolization therapy is a rather safe,simple and effective method for severe hemoptysis from lung that would be positive respond to medical treatment.