支气管动脉栓塞治疗支气管扩张大咯血28例

Management on therapy of using bronchial artery embolization in the treatment of 28 bronchiectasis with mass hemoptysis

目的回顾性分析支气管动脉栓塞治疗支气管扩张大咯血。方法对28例支气管扩张大咯血患者进行选择性支气管动脉造影,用明胶海绵颗粒等材料进行栓塞。结果左支气管动脉栓塞10例,右支气管动脉栓塞12例,左右支气管动脉共干6例。确定出血血管栓塞后,28例患者咯血停止,27例3日内未再咯血,有1例仍有咯血,1周后再行栓塞术后,咯血停止。结论支气管扩张大咯血进行内科保守治疗效果不佳而又无法耐受外科手术者,应及时行支气管动脉造影并栓塞治疗。

Objective To retrospectively analysis the value of bronchial artery embolization in the treatment of bronchiectasis with mass hemoptysis. Methods Under the image surveillance, 28 cases of bronehiectasis patients with massive hemoptysis underwent selective bronchial angiography, and then use gelatin sponge particles, and other materials embolization. Results The left bronchial artery embolization 10 cases, and the right bronchial artery embolization 12 cases, a total of about bronchial artery stem 6 cases. 28 cases of patients with hemoptysis stopped after determine bleeding vessels embolization , 27 cases of embolization of bronchial artery no further hemoptysis in 3 days, 1 cases are still a small amount of hemoptysis, the further selective bronchial artery embolization after one week, hemoptysis stopped. Conclusions Bronchial artery embolization should be conducted as early as possible for the bronchiectasis patients with massive hemoptysis when conservative medical treatment is not effective and unable to tolerance surgery.