摘要
目的评价支气动脉栓塞治疗大咯血的疗效及影响因素。方法对32例急性或顽固性大咯血(咯血量大于300ml)患者单纯采用明胶海绵栓塞支气管动脉止血。原发疾病包括肺结核18例,支气管扩张9例,肺癌5例。全部病例于栓塞治疗后经随访6～48个月。结果31例(97%)即时止血,2例(6%)近期(2～3周)内复发,6例(18.7%)中远期(2月以上)复发,1例12h后急性大咯血窒息死亡。结论单纯用明胶海绵栓塞支气管动脉治疗急性或顽固性大咯血疗效满意。近期复发与侧支循环有关,中远期复发可能与原发病及明胶海绵的吸收有关。
Objective To evaluate the role of bronchial artery embolization(BAE)in controlling massive hemoptysis.Methods BAE with gelfoam was performed in 32pati ents with acute or refractory hemopt ysis.There were pulmonary tubercul osis 18cases,bronchiectasis 9cases,and pulmonary carcinoma 5cases in the primary diseases of all patients.After BAE,all patients were fo llowed up for 6～48months.Results Massive hemoptysis of 31patients(97%)was controlled immediately and comp letely,2(6%)patients recurred within2～3weeks and 6(18.7%)patients recurred after two months.Only one patient died of asphyxia due to acute massive hemoptysis at 12hours later.Conclusion BAE with gelfoam is an effective meth od for controlling acute or refracto ry massive hemoptysis.The recurren ce with-in 2～3weeks may be caused by collateral circulation,whereas the recurre nce after two months may be caused by t he primary disease and/or the dissolution of gelfoam.[
出处
《实用医学影像杂志》
2003年第2期99-101,共3页
Journal of Practical Medical Imaging
关键词
大咯血
支气管动脉
栓塞
明胶海绵
Hemoptysis,massive
Bronchial artery
Embolization
Gelfoam
