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目的:探讨应用介入技术,超选择支气管动脉,行PVA颗粒栓塞治疗急性大咯血的治疗价值。方法:对我院2001年以来34例采用PVA颗粒栓塞的大咯血病人的术后反应。并发症发生情况及止血情况进行随访和回顾性分析。结果:所有病人均为一次性栓塞成功,术后随访时间长达36个月,随访率达100%。除一例肺癌病人因咯血死亡外,未发现复发性咯血。术后病人出现胸部疼痛症状,短期内对证治疗可以缓解。未见明显并发症发生。结论:应用PVA颗粒栓塞支气管动脉是治疗急性大咯血的一种有效方法。
Objective: To investigate the therapeutic value of interventional technique, superselective bronchial artery and PVA granule embolization in the treatment of acute massive hemoptysis. Methods: The postoperative response of 34 patients with massive hemoptysis with PVA particle embolism in our hospital since 2001. Complications and hemostasis were followed up and retrospectively analyzed. Results: All patients were successfully thrombolytic therapy. The follow-up time was 36 months and the follow-up rate was 100%. In addition to a case of lung cancer patients died of hemoptysis, no recurrent hemoptysis was found. Postoperative chest pain symptoms appear in the short term treatment of card can be alleviated. No obvious complications occurred. Conclusion: The application of PVA granules to embolize the bronchial artery is an effective method for the treatment of acute massive hemoptysis.