摘要
目的:评价急诊介入栓塞术治疗咯血的有效性、安全性。方法:对54例急诊咯血患者进行动脉造影,明确犯罪血管后应用聚乙烯醇(PVA)颗粒、栓塞微球、明胶海绵颗粒、弹簧圈等材料栓塞出血动脉。结果:造影共发现72条异常动脉,动脉栓塞术成功率98.1%。36例患者术后出血停止,15例患者术后咯血量明显减少,2例患者咯血症状无明显改善,手术有效率94.4%,手术死亡率0。手术并发症:发热、胸痛、胸闷、咳嗽、恶心、呕吐等。结论:急诊介入栓塞术是治疗咯血的安全、有效的方法。
Objective:To evaluate the efficacy and safety of emergent embolization in treatment of massive hemoptysis. Method:54 patients with emergent hemoptysis were diagnosed by artery angiography, After the abnor- mal vessels were identified, chose polyvinyl alcohol (PVA) particles, PVA microspheres, gelatin sponge parti- cles, coils or other materials for embolization. Result:72 abnormal vessels were found in angiography, the success rate of artery embolization was 98.1 %. After embolization, 36 patients got immediate and complete hemostasis. Bleeding decreased significantly in 15 patients, but 2 patients' hemoptysis had no significant improvement. The ef- fective rate was 94.4%, the mortality rate is 0. Complications included fever, chest pain, choking sensation in chest, cough, nausea, sickness et al. Conclusion:Artery embolization is an effective and safe therapy in the treatment of emergent hemoptysis.
出处
《临床急诊杂志》
CAS
2012年第3期173-175,178,共4页
Journal of Clinical Emergency
关键词
急诊
大咯血
介入
栓塞
emergent
massive hemoptysis
intervention
embolization