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目的:评价急诊介入栓塞术治疗咯血的有效性、安全性。方法:对54例急诊咯血患者进行动脉造影,明确犯罪血管后应用聚乙烯醇(PVA)颗粒、栓塞微球、明胶海绵颗粒、弹簧圈等材料栓塞出血动脉。结果:造影共发现72条异常动脉,动脉栓塞术成功率98.1%。36例患者术后出血停止,15例患者术后咯血量明显减少,2例患者咯血症状无明显改善,手术有效率94.4%,手术死亡率0。手术并发症:发热、胸痛、胸闷、咳嗽、恶心、呕吐等。结论:急诊介入栓塞术是治疗咯血的安全、有效的方法。
Objective: To evaluate the effectiveness and safety of emergency interventional embolization in the treatment of hemoptysis. Methods: Fifty-four patients with hemoptysis underwent arteriography. After definite angiogenesis, polyvinyl alcohol (PVA) particles, embolic microspheres, gelatin sponge particles and coil were used to embolize the hemorrhage artery. Results: A total of 72 abnormal arteries were found by angiography. The success rate of arterial embolization was 98.1%. Thirty-six patients stopped bleeding after operation, and the hemoptysis volume of 15 patients decreased significantly. The hemoptysis symptoms of two patients showed no significant improvement. The operative efficiency was 94.4% and the operative mortality rate was 0. Surgical complications: fever, chest pain, chest tightness, cough, nausea, vomiting and so on. Conclusion: Emergency interventional embolization is a safe and effective method for the treatment of hemoptysis.