支气管扩张症并肺血栓栓塞症伴咯血患者临床分析

Clinical Analysis of Patients with Bronchiectasis, Pulmonary Thromboembolism with Hemoptysis

目的探究支气管扩张并肺血栓栓塞症伴有咯血患者的临床治疗方法。方法回顾性分析2013年3月—2018年3月入院治疗的支气管扩张并肺血栓栓塞症伴有咯血的48例患者的一般资料,诊断病例以及疾病治疗中抗凝血与促凝血药物的使用情况,总结疾病治疗方法。结果 19例咯血患者采取促凝血治疗,另外29例为支气管扩张并肺栓塞伴咯血患者其中10例患者药物治疗,另外19例行动脉造影与支气管动脉栓塞术,有效止血后给予低分子肝素进行抗凝血治疗,而后追加华法林抗凝治疗。结论在治疗支气管扩张并肺血栓栓塞症伴咯血患者时,需根据患者实际情况采取抗凝血与促凝血药物,平衡两种药物的选用,以达到良好的治疗效果。

Objective To study the clinical treatment method of patients with bronchiectasis, pulmonary thromboembolism with hemoptysis. Methods 48 cases of patients with bronchiectasis, pulmonary thromboembolism with hemoptysis treated in our hospital from March 2014 to March 2018 were selected and the usage of anticoagulation and procoagulant drugs was diagnosed, and the disease treatment method was summarized. Results 19 cases of patients with hemoptysis used the procoagulant therapy, of the other 29 cases, there were 10 cases with bronchiectasis, pulmonary thromboembolism with hemoptysis, and 19 cases with arteriography and bronchial artery embolization, treated with low molecular weight heparin after the effective hemostasis and then warfarin anticoagulation therapy. Conclusion We should use the anticoagulant and procoagulant drugs according to the practical conditions in treatment of patients with bronchiectasis, pulmonary thromboembolism with hemoptysis thus balancing the selection of the two drugs in order to reach a good treatment effect.