支气管动脉栓塞术治疗大咯血疗效研究

Therapeutic Effect of Bronchial Artery Embolization in the Treatment of Massive Hemoptysis

目的 分析支气管动脉栓塞术在大咯血临床治疗中的应用效果。方法 选取2012年1月~2015年4月收治的47例大咯血患者的临床资料进行回顾性分析。结果 47例患者中,有29例单侧病变,18例双侧病变;46例患者治疗后立即止血,4例患者早期复发,3例中期复发,2例远期复发;2例出现一过性发热,1例穿刺区域出血,1例胸痛。结论 对大咯血患者行支气管动脉栓塞术临床疗效显著,且止血率高,患者出现并发症的可能性非常小。

Objective To analyze the effect of application of bronchial artery embolization in the treatment of massive hemoptysis.Methods The clinical data of 47 patients with massive hemoptysis treated were retrospectively analyzed from January 2012 to April 2015.Results47 patients, 29 cases of unilateral lesions, 18 cases of bilateral lesions; 46 patients were treated immediately after hemostasis, early recurrence in 4 patients, 3 cases of recurrence of medium-term, 2 cases of recurrence of forward; 2 cases are transient fever, 1 case of puncture region bleeding, 1 case of chest pain.ConclusionThe clinical effect of bronchial artery embolization in the treatment of massive hemoptysis was signiifcant, and the rate of hemostasis was high. The possibility of complications was very small.