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纤维支气管镜灌注纤维蛋白原、凝血酶治疗大咯血
引用本文:孟要武,易锦发. 纤维支气管镜灌注纤维蛋白原、凝血酶治疗大咯血[J]. 河南大学学报(医学版), 2012, 0(3): 239-240
作者姓名:孟要武  易锦发
作者单位:佛山市桂城医院呼吸内科
基金项目:佛山市科学技术发展专项资金项目(20100816)
摘    要:目的探讨经纤维支气管镜灌注纤维蛋白原、凝血酶治疗大咯血的临床价值。方法临床收治26例因大咯血而内科治疗无效的患者,经纤维支气管镜对准出血部位注入20g/L纤维蛋白原和凝血酶溶液,观察出血结果。结果 26例大咯血患者经上述治疗均立即止血,配合病因治疗并静脉应用止血药物观察均未再咯血,总有效率100%。结论经纤维支气管镜灌注纤维蛋白原、凝血酶治疗大咯血止血作用迅速,效果确切,副作用少,是治疗大咯血的有效方法。

关 键 词:纤维支气管镜  纤维蛋白原  凝血酶  大咯血

The treatment of massive hemoptysis by fiberbronchoscopic perfusing with human fibrinogen and thrombin
MENG Yao-wu,YI Jin-fa. The treatment of massive hemoptysis by fiberbronchoscopic perfusing with human fibrinogen and thrombin[J]. Journal of Henan University, 2012, 0(3): 239-240
Authors:MENG Yao-wu  YI Jin-fa
Affiliation:(Department of Respiratory Medcine,Guicheng Hospital,Foshan,Guangdong 528000,Chian)
Abstract:Objective To discuss the value of fiberbronchoscopic treatment of massive hemoptysis by perfusing with human fibrinogen and thrombin.Methods 26 patients who suffered from massive hemoptysis were collected.20 g/L fibrinogen and thrombin was perfused to the position of bleeding through a fiberbronchoscope.Then,the results of hemoptysis were observed.Results All the patients stopped bleeding immediately after the treatments.No further bleeding was observed after treatment with these hemostatic medicine,with an effective rate of 100%.Conclusions Fiberbronchoscopic perfusing with human fbrinogen and thrombinis was effective and had few side effects in curing the patients with massive hemoptysis.
Keywords:fiberbronchoscope  human fibrinogen  thrombin  massive hemoptysis
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