人工气腹治疗难治性咯血18例分析

Analysis of the treatment of 18 cases of refractory hemoptysis with artificial pneumoperitoneum

目的评价人工气腹治疗难治性咯血的临床价值。方法对18例经内科常规止血治疗无效的大咯血患者进行人工气腹治疗,初次注气1000～1500ml,如无效于第3天第二次注气1000ml。结果所有病例均在3天内咯血停止,其中注气1次,在2天内咯血停止15例,注气2次,在第3天内咯血停止3例、无严重不良反应。结论人工气腹治疗难治性咯血安全,高效,设备要求简便,费用低,值得临床应用。

Objective To evaluate the value of artificial pneumoperitoneum in the treatment of refractory hemoptysis. Methods Inefficiency of 18 cases of hemostasis with conventional medical treatment carried out artificial pneumoperitoneum. Firstly we poured 1000 1500 ml air into abdominal cavity. If not efficacious ,we poured 1000 ml air into it again on the third day. Results All 15 cases stopped hemoptysisin on the second day, only 3 case on the third day, with no side effect. Conclusion It is safe, highly-effective, handy-equiped and has low-cost in the use of artificial pneumoperitoneum in the treatment of refractory hemoptysis.