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目的评价选择性支气管动脉栓塞对治疗急性大咯血的效果。方法49例大咯血病人包括经临床与放射学证实的肺结核21例,支气管黏膜结核4例,支气管扩张18例,以及晚期肺癌6例,均经选择性支气管动脉栓塞治疗。栓塞治疗后,全部病人经随访6个月至18个月。结果栓塞治疗后12h,49例中的46例(93.9%)被成功地止血,其余3例栓塞后再次咯血,再行栓塞治疗后,咯血停止。在随访6个月至18个月期间,除3例肺癌与1例肺结核偶有痰血外,未发生与栓塞治疗操作相关的严重并发症。结论选择性支气管动脉栓塞是目前治疗急性大咯血的一种较好方法,值得进一步推广应用。
Objective To evaluate the effect of selective bronchial artery embolization on the treatment of acute massive hemoptysis. Methods 49 patients with hemoptysis included 21 cases of pulmonary tuberculosis confirmed by clinical and radiology, 4 cases of bronchial mucosal tuberculosis, 18 cases of bronchiectasis, and 6 cases of advanced lung cancer, all of whom were treated with selective bronchial artery embolization. After embolization, all patients were followed up for 6 months to 18 months. Results After the embolization treatment, 46 cases (93.9%) of the 49 cases were successfully stopped bleeding 12 hours after the embolization. The remaining 3 cases were re-hemoptysis after embolization, and the hemoptysis was stopped after embolization. During the follow-up of 6 months to 18 months, no serious complications related to embolization were found except for 3 cases of lung cancer and 1 case of sputum occasionally diagnosed as pulmonary tuberculosis. Conclusions Selective bronchial artery embolization is a better method for the treatment of acute massive hemoptysis, and it is worth further promotion and application.