动脉栓塞术治疗急性大咯血的临床疗效分析

Clinical efficacy analysis of transcatheter arterial embolization in treating acute massive hemoptysis

目的评价动脉栓塞术治疗急性大咯血的临床疗效。方法对内科保守治疗无效的26例大咯血患者,通过介入动脉血管内栓塞治疗彻底栓塞引起出血的责任血管,观察患者的咯血情况。结果 26例患者均操作成功,24例咯血完全控制,2例患者在栓塞术后1周内再次出现咯血,行二次介入栓塞治疗后出血停止,3个月内均未见复发,一次栓塞有效率92.3%(24/26),总有效率为100%,未出现严重并发症。结论动脉栓塞术治疗大咯血安全、有效、微创,值得在临床推广应用。

Objective To evaluate the clinical effects of transcatheter arterial embolization（TCAE） in treating acute massive hemoptysis （AMH）. Methods The culprit vessels of 26 AMH patients were treated with TCAE after failure of medical therapy. Hemoptysis symptom of the patients was observed. Results TCAE was successfully accomplished in all 26 patients. Hemoptysis was completely controlled in 24 patients（ once embolization rate, 92. 3% ）, and second time TCAE was performed in 2 patients for the recurrence of hemoptysis in one week after the first TCAE. All patients were followed up for 3 months, and no hemoptysis or serious complication occurred （ total effective rate, 100% ）. Conclusion TCAE is safe, effective, and minimally invasive for the treatment of AMH, indicating its broad clinical application.