支气管动脉化疗灌注术的并发症原因分析及防治

Study reason and Treatment Complications during Bronchial Artery Infusion

目的探究经皮支气管动脉化疗灌注术(简称BAI)的并发症的发生原因及其防治的临床意义。方法400例病人总共进行1253余人次支气管动脉化疗灌注术治疗肺部肿瘤或食管肿瘤,统计所发生并发症的类型及例数(在此不统计化疗药物对全身的副反应)。结果与造影剂反应有关的并发症50例,发生率为3.9%;出现与穿刺及导管操作有关的并发症32例,发生率为2.6%;与肺部治疗有关的并发症15例,发生率为1.2%。结论分析各类并发症的发生原因,着重探讨对这些并发症的预防及治疗。

Objective： To investigate the reason and clinical significance of complication in bronchial artery infusion（BAI）. Method： The type and case of complication during 1253 BAI and chemoembolization in 400 patients with bronchial carcinoma were counted. Result： 50,3.9 complications related to contrast medium, puncture and catheter operation and lung treatment respectively, and their incidence was 3.9%,2.6%, 1.2% respectively. Conclusion： The reason of complications was analysed, and prevention and cure of complications were discussed emphatically.