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目的探讨支气管动脉栓塞术治疗大咯血的临床疗效及护理措施。方法 85例行支气管动脉栓塞术的大咯血患者,根据病情围手术期予以正确的护理干预和护理措施。随访6~24个月,观察患者病情改善情况。结果 85例患者首次动脉栓塞术后咯血均停止,术后1周15例少量咯血患者经内科保守治疗后出血停止,其余7例保守治疗无效,行二次支气管动脉栓塞治疗。24个月内行二次介入栓塞治疗15例。随访中未发生与栓塞治疗操作相关的严重并发症。结论支气管动脉栓塞术是治疗大咯血的有效方法 ,正确的术前准备、术中护理及术后观察能有效降低并发症,提高治疗的效果及安全性。
Objective To investigate the clinical efficacy and nursing measures of bronchial artery embolization in treating massive hemoptysis. Methods 85 cases of patients with massive hemoptysis undergoing bronchial artery embolization were given proper nursing interventions and nursing interventions according to the conditions of the disease. Follow-up 6 to 24 months, observed the patient’s condition improved. Results 85 cases of hemoptysis were stopped after the first arterial embolization. Fifteen cases of hemoptysis in one week after operation were stopped by conservative medical treatment. The remaining seven cases were ineffective and received secondary bronchial artery embolization. Interventional embolization was performed in 15 patients within 24 months. There were no serious complications associated with embolic treatment at follow-up. Conclusions Bronchial artery embolization is an effective method for the treatment of massive hemoptysis. Correct preoperative preparation, intraoperative nursing and postoperative observation can effectively reduce the complications and improve the therapeutic effect and safety.