支气管动脉栓塞术治疗大咯血46例临床观察

Clinical Observation of the Treatment of Bronchial Artery Embolization to Treat Massive Hemoptysis in 46 Patients

目的：观察支气管动脉栓塞术治疗大咯血的临床效果。方法：46例大咯血患者行胸部CT,支气管动脉造影检查确定出血部位后,使用明胶海绵、PVA颗粒栓塞病变血管。结果：支气管动脉栓塞治疗后24例（52.17%）即刻咯血停止;15例（32.61%）咯血显著减少,3d内咯血逐渐停止;共计治疗显效39例（84.78%）。7例（15.22%）治疗无效,其中2例（4.35%）死亡,5例转外科治疗。8例患者出现并发症,症状均较轻,在3~5d后症状消失。结论：支气管动脉栓塞治疗大咯血安全、有效、微创。为常规内科止血治疗无效,无外科手术指征的患者提供了一种较好的治疗手段。

Objective：To observe bronchial artery embolization for massive hemoptysis clinical effect.Method：The 46 cases were tested by chest CT,bronchial artery angiography revealed the site of bleeding,Use gelatin sponge or polyvinyl alcohol（PVA） particles to embolizate vascular lesions.Result：Bronchial artery embolization for the treatment of 24 cases （52.17%） immediately stopped hemoptysis;in 15 cases（32.61%） with significantly reduced,within 3 days of hemoptysis stopped;total treatment effectiveness in 39 cases（84.78%）.In 7 cases（15.22%） non-effective treatment,and the 2 patients（4.35%） died,and 5 cases of surgical treatment.8 patients had complications, symptoms were mild,after 3~5 days the symptoms were disappeard.Conclusion：Bronchial artery embolization for treatment of massive hemoptysis is safe,effective,minimally invasive.For the conventional medical hemostatic treatment is ineffective,without surgical operation indications in patients provide a better therapeutic means.