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目的:对支气管扩张併咯血的诊治体会进行总结分析。方法:选取我院2014年9月-2016年8月收治的支气管扩张併咯血患者66例,随机将患者分为观察组和对照组,观察组患者33例,观察组患者使用酚妥拉明联合支气管动脉栓塞术进行治疗;对照组患者33例,对照组患者仅使用常规止血剂进行治疗,对两组患者的临床治疗效果进行比较。结果:通过研究可知,观察组患者显效例数为26例,有效例数为5例,无效例数为2例,总有效例数为31例,治疗总有效率为93.94%;对照组患者显效例数为17例,有效例数为8例,无效例数为8例,总有效例数为25例,治疗总有效率为75.76%,观察组患者治疗总有效率明显高于对照组(P<0.05),具有统计学意义。结论:使用酚妥拉明联合支气管动脉栓塞术治疗支气管扩张併咯血的疗效较好,患者症状得到明显缓解,并且预后效果较好,复发率小,值得临床推广使用。
Objective: To summarize the diagnosis and treatment of bronchiectasis and hemoptysis. Methods: Sixty-six patients with bronchiectasis and hemoptysis admitted from September 2014 to August 2016 in our hospital were randomly divided into observation group and control group. 33 patients in observation group were treated with phentolamine Bronchial artery embolization for treatment; control group of 33 patients, the control group of patients treated with conventional hemostatic agents only, the clinical efficacy of the two groups of patients were compared. Results: The study showed that the number of patients in the observation group was 26 cases, the effective number of cases was 5 cases, the number of invalid cases was 2 cases, the total effective cases was 31 cases, the total effective rate was 93.94%; The number of cases was 17, the number of effective cases was 8, the number of invalid cases was 8, the total effective number of cases was 25 and the total effective rate was 75.76%. The total effective rate of observation group was significantly higher than that of control group (P <0.05), with statistical significance. Conclusion: The effect of phentolamine combined with bronchial artery embolization in the treatment of bronchiectasis and hemoptysis is good, and the symptoms of patients are obviously relieved. The prognosis is good and the recurrence rate is small, which is worthy of clinical promotion.