非外伤性大咯血的数字减影血管造影诊断及介入治疗

DSA diagnosis and interventional treatment of non traumatic massive hemoptysis

目的探讨非外伤性大咯血的数字减影血管造影(DSA)诊断及介入栓塞治疗的临床价值。方法回顾性分析2008年1月至2015年1月西山煤电集团公司职工总医院介入导管室资料完整的17例非外伤性大咯血介入治疗的临床资料。结果 15例明确出血部位且成功栓塞,2例未能明确出血部位,治愈率达88%。结论非外伤性大咯血的介入栓塞治疗安全、有效,且发生并发症的概率低,出血位置的明确及栓塞材料的合理选择是其成功的关键。

Objective To discuss the diagnosis of digital subtraction angiography （DSA） of non-traumatic mas-sive haemoptysis and the clinical value of interventional embolization. Methods Retrospectively analyze intervention-al therapy clinical data of 17 cases with non-traumatic massive haemoptysis from January 2008 to January 2015 in Xishan coking Coal Group Staff General Hospital. Results Fifteen cases of clear bleeding site and successful em-bolization, 2 cases failed to clear bleeding, the cure rate was 88%. Conclusion Interventional embolization of non traumatic massive haemoptysis is safe, effective, and had low probability of complications, finding the location of the hemorrhage and rational selection of the embolization material is the key to its success.