咯血病人的选择性支气管动脉造影及栓塞治疗(附8例报告)

• 作 者: 刘毅 岳伟东 尹贤容 赵卉 吴仕华
• 机 构: 四川省重庆市急救医疗中心,四川省重庆市急救医疗中心,四川省重庆市急救医疗中心,四川省重庆市急救医疗中心,四川省重庆市急救医疗中心,
• 出 处: 介入放射学杂志
• 发表日期: 1995年02期
• 关键词: 支气管动脉 咯血病人 咯血量 动脉法 胸部外伤 明胶海绵颗粒 支气管造影 支气管扩张 动脉瘤样改变 造影剂

选择性支气管动脉造影对长期、反复咯血或大咯血的病例不仅能够发现出血部位,而且可用栓塞动脉法达到止血目的。我们于1992年9月～1994年2月间为8例咯血病人作了选择性支气管动脉造影,其中4例作了支气管动脉的栓塞。材料和方法8例病人中,男、女各4例。年龄22～53岁,平均32岁。7例长期反复咯血,病程5～20余年,咯血量每次50～1000ml 不等;2例伴大量脓痰。1例为胸部外伤后4月余突然出现大咯血,咯血量达1000ml。

Selective bronchial angiography on long-term, repeated hemoptysis or hemoptysis cases can not only find the bleeding site, but also to achieve the purpose of bleeding with embolization of the artery. We performed selective bronchial angiography in eight patients with hemoptysis between September 1992 and February 1994, and four of them were embolized with bronchial artery. Materials and Methods 8 patients, 4 males and 4 females. Age 22 ~ 53 years old, average 32 years old. 7 cases of long-term repeated hemoptysis, duration of 5 to 20 years, hemoptysis each 50 ~ 1000ml range; 2 cases with a large number of purulent sputum. 1 case of chest trauma after more than 4 months suddenly appeared hemoptysis, hemoptysis amounted to 1000ml.