明胶海绵加真丝线段栓塞支气管动脉治疗大咯血

Bronchi artery embolization with gelatinum sponge and silk thread to treat serious hemoptysis

目的探讨用明胶海绵（ＧＳ）加真丝线段（ＳＴ）进行支气管动脉栓塞治疗大咯血的效果。材料与方法３１例大咯血病人均行急诊支气管动脉栓塞（ＢＡＥ），其中，单纯性ＧＳ栓塞１０例，ＧＳ加ＳＴ栓塞２１例。结果单纯性ＧＳ栓塞组，９例立即止血，１例３天后止血。１０例中４例１年内复发，在ＧＳ加ＳＴ栓塞组，２１例均立即止血，有２例１年内复发。结论ＧＳ加ＳＴ栓塞支气管动脉治疗大咯血效果好且复发率低。

Objective To discuss the effect of bronchi arteries embolization with gelatinum sponge(GS)and silk thread(ST)to treat serious hemoptysis. Materials and Methods 31 patients with serious hemoptysis were taken emergent select bronchi arteries embolism(BAE).Only GS was used in 10 cases,both GS and ST wer used in 21 cases.Results In the GS group 9 cases were stanched immediately and the other one stoped bleeding three days later.But 4 cases recurred in one year.In the GS ST group all patients were stanched immediately and 2 cases recurred in one year.Conclusion The bronchi artery embolization with GS and ST has good effect to treat serious hemoptysis and the recurred rate is low.