紧急动脉栓塞治疗大咯血

Acute atrerial-embolization in treatment of massive pulmonary hemoptysis

目的评价介入栓塞治疗大咯血的疗效。方法16例大咯血患者行介入栓塞治疗,肺结核10例,支气管扩张6例;栓塞支气管动脉24支,肋间动脉6支,右乳内动脉1支。结果即刻止血13例,咯血明显减少2例,失败1例;随访3～48个月,3例复发,2例再次栓塞治疗咯血停止,1例内科保守治疗成功。本组未发生脊髓损伤及异位栓塞综合征。结论大咯血患者行介入栓塞治疗止血快,疗效显著,安全可靠。

Objective To evaluate the role of acute arterial -embolization in controlling massive hemoptysis.Methods Acute bronchial arterial-embolization was performed in16patients with massive hemoptysis(pulmonary tuberculosis,10patients;bronchiectasis,6).Above all patients,24bronchial arteries,6intercostal arteries and right internal mammary artery were embolizated.Results Hemoptysis was controlled immediately in13patients,decreased significantly in2patients,failed in1patient.The follow-up time ranged3-48monthes,hemoptysis was happened again in3patients,of whom emboliazated again in2patients,then hemoptysis was controlled,other patient was successfully suffered to internal conserved treatment.There was no spinal cord injury and no other ectopic arerial-embolization syndrome.Conclusion The efficacy of acute arterial-embolization in controlling hemoptysis is obvious,and it is safe.