介入治疗大咯血45例临床分析

Interventional treatment of massive clinical analysis of 45 cases

目的:探讨支气管动脉栓塞术(BAE)治疗大咯血的临床应用价值。方法:对45例大咯血患者用明胶海绵颗粒行支气管动脉栓塞术。结果:45例患者均成功行支气管动脉栓塞术,有效率为100%。40例咯血完全控制,治愈率为88.9%,6例复发,复发率为13.3%,所有患者均未发生严重的栓塞相关并发症。结论:支气管动脉栓塞术是控制大咯血的一种安全、微创、高效的治疗方法,值得推广应用。

Objective：To evaluate the bronchial artery embolization（BAE） treatment of massive clinical value.Methods：45 patients with massive hemoptysis in patients with gelatin sponge particles bronchial artery embolization.Results：45 patients were successfully bronchial artery embolization,the effective rate was 100%.40 cases of complete control of hemoptysis,the cure rate was 88.9%,6 cases of recurrence,the recurrence rate was 13.3%,in all cases no serious complications related to embolization.Conclusion：Bronchial artery embolization to control hemoptysis in a safe,minimally invasive and effective treatment,should be widely applied.