摘要
目的 探讨支气管动脉栓塞术在经内科治疗后仍反复小量咯血患者中的临床应用价值.方法 对药物治疗后仍反复小量咯血的28例患者,经行患侧支气管动脉、胸廓内动脉、肋间动脉、膈下动脉及对侧支气管动脉造影,明确出血动脉后行起选择性插管栓塞治疗.结果 28例患者均一次性完全处理出血动脉后而止血,共栓塞动脉44支,以上动脉均有不同程度的扩张、扭曲、分枝增多、血管丛形成,所有病例均未见造影剂外溢征象,随访1～12个月无复发,有效率100％,除栓塞术后早期胸背部疼痛外无严重并发症发生.结论 支气管动脉栓塞术在控制经内科药物治疗后仍反复小量咯血患者中,仍不失为一种微创、实用、安全、有效的治疗方法.
Objective To explore the value of bronchial arterial embolism on treatment of little repeated emptysis after ？ medication. Methods 28 patients with little repeated emptysis after ？ medication were treated with arteriography and determined the bleeding artery. The bleeding arteries were treated with interventional embolization. Results 24 cases were successfully embolized and were immediate hemostasis. 4 cases with hemoptysis reduced obviously were continued with drug treatment and was hemostasis after interventional hemostasis. The efficiency rate was 100%. No serious complications occurred. Conclusion It is a safe and effective method to treat little repeated emptysis after medication with？ bronchial arterial embolism.
出处
《西部医学》
2015年第9期1377-1378,1381,共3页
Medical Journal of West China
关键词
支气管动脉栓塞
反复咯血
介入治疗
Bronchial artery embolization
Repeated hemoptysis
Interventional therapy
