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大咯血是临床常见急症,死亡率较高,及时控制出血对挽救患者生命是至关重要的。内科治疗对大部分患者有良好的疗效,但有少部分患者对保守治疗反应不佳,外科治疗对这类患者有一定限度。经导管支气管动脉栓塞(Bronchial Arterial Embolization,BAE)可立即控制出血,操作方法较简单,安全性较高。本文报告46例急性大咯血的支气管动脉栓塞治疗结果并讨论如下。 1 材料与方法 1.1 临床资料:46例患者中,男32例,女14例;年龄20～86岁(平均57.7岁)。病因包括支气管扩张症31例,肺癌8例,肺结核3例,原因不明4例。具有反复咯血病史6个月～7年,既往采取内科药物止血治疗。本次因无诱因急性大咯血(咯血量400～900
Hemoptysis is a common clinical emergency, high mortality, timely control of bleeding to save the patient’s life is crucial. Medical treatment of most patients have a good effect, but a small part of patients with poor response to conservative treatment, surgical treatment of patients with this limit. Bronchial Arterial Embolization (BAE) provides immediate control of bleeding and is simple and safe to administer. This article reports 46 cases of acute hemoptysis of bronchial artery embolization results and discussed below. 1 Materials and Methods 1.1 Clinical data: 46 patients, 32 males and 14 females; aged 20 to 86 years (mean 57.7 years). Causes include bronchiectasis in 31 cases, lung cancer in 8 cases, tuberculosis in 3 cases, 4 cases of unknown cause. Has a history of repeated hemoptysis 6 months to 7 years, the previous medical treatment to stop bleeding. The non-induced acute massive hemoptysis (hemoptysis volume 400 ~ 900