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目的:探讨支气管动脉栓塞术(BAE)在治疗急性大咯血中的临床应用价值。方法:48例大咯血患者,接受BAE治疗,发病时咯血量大于300ml/24h或100ml/次,其中支气管扩张32例,肺结核9例,肺癌7例。根据选择性支气管动脉造影情况,选择聚乙烯醇微粒,或联合明胶海绵颗粒及弹簧圈进行栓塞。复发者再次行BAE治疗,所有病例随访6～18个月,观察疗效及并发症。结果:48例大咯血患者均无严重并发症发生,1次栓塞43例,2次栓塞5例,总有效率95.8%(46/48),复发率10.4%(5/48)。结论:BAE治疗大咯血安全有效,可成为治疗大咯血的首选方法。
Objective: To investigate the clinical value of bronchial artery embolization (BAE) in the treatment of acute massive hemoptysis. Methods: 48 patients with massive hemoptysis received BAE. The incidence of hemoptysis was more than 300ml / 24h or 100ml / time, including 32 cases of bronchiectasis, 9 cases of tuberculosis and 7 cases of lung cancer. According to the selective bronchial angiography, choose polyvinyl alcohol particles, or gelatin sponge particles and coil embolization. Recurrent BAE treatment again, all cases were followed up for 6 to 18 months to observe the efficacy and complications. Results: No serious complications occurred in 48 patients with massive hemoptysis. One embolization in 43 cases and two embolizations in 5 cases, the total effective rate was 95.8% (46/48) and the recurrence rate was 10.4% (5/48). Conclusions: BAE is safe and effective in treating massive hemoptysis and may be the preferred method of treating massive hemoptysis.