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介入血管内栓塞治疗大咯血的临床应用 被引量:5

Clinical Study of Interventional Intravascular Embolization in the Treatment of Massive Hemoptysis
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摘要 [目的]研究介入血管内栓塞治疗大咯血的方法、临床效果、意义.[方法]对25例大咯血患者行介入血管内栓塞治疗,包括支气管扩张11例,肺结核9例,肺部感染3例,肺癌2例,栓塞术后无咯血且3个月内无再为显效,术后少量咯血,治疗后停止,3个月无再发为有效.[结果]对25例患者总共发现的42支供血动脉进行了栓塞处理,其中有5例在1周内再次出现咯血,行第2次介入治疗后出血停止,3个月内均未见复发,显效率52%(13/25),总有效率为100%.未出现严重并发症.[结论]介入血管内栓塞是治疗大咯血的安全而有效的办法. [Objective]To explore the method, clinical efficacy and significance of interventional intravas- cular embolization for the treatment of massive hemoptysis. [Methods] Interventional intravascular emboliza- tion was performed in 25 patients with massive hemoptysis including 11 cases of bronchiectasis', 9 cases of pul- monary tuberculosis, 3 cases of pulmonary infection and 2 cases of lung cancer. The patients without rebleed- ing within 3 months were regarded as being cured. [Results] The 42 feeding arteries in 25 patients were embo- lized. Among them, 5 patients had hemoptysis again in a week and the bleeding was stopped by second inter- ventional therapy, and had no recurrence within 3 months. The total effective rate was 100% which the excel- lence rate was 64% and effective rate was 46 %. No serious complications occurred. [Conclusion] Intervent'ion- al intravascular embolization for the treatment of massive hemoptysis is safe and effective.
出处 《医学临床研究》 CAS 2012年第1期125-127,共3页 Journal of Clinical Research
关键词 咯血/治疗 栓塞 治疗性 Hemoptysis/TH embolization,therapeutic
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