共查询到19条相似文献,搜索用时 82 毫秒
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1995年3月~1997年2月,我们利用超声雾化器将凝血酶雾化吸入治疗支气管扩张咯血20例,并与同期常规静脉应用止血药物治疗比较,发现前者疗效显著。1 对象和方法1.1 对象 住院治疗的支气管扩张咯血40例,其中男31例,女9例;年龄20~66岁,平均38.2岁。大量咯血(每天>400ml)4例,中量咯血(每天100~400ml)16例,小量咯血(每天<100ml)20例。以上病例按性别、年龄、咯血量等情况,随机平均分为治疗组及对照组各20例。1.2 治疗方法 (1)治疗组:按咯血量多少将凝血酶粉剂4000~10000U,以生理盐水40ml溶解后注入CSW-1型超声雾化器雾化罐内(汕头市光电… 相似文献
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目的 评价支气动脉栓塞治疗大咯血的疗效及影响因素。方法 对32例急性或顽固性大咯血(咯血量大于300ml)患者单纯采用明胶海绵栓塞支气管动脉止血。原发疾病包括肺结核18例,支气管扩张9例,肺癌5例。全部病例于栓塞治疗后经随访6-48个月。结果 31例(97%)即时止血,2例(6%)近期(2-3周)内复发,6例(18.7%)中远期(2月以上)复发,1例12h后急性大咯血窒息死亡。结论 单纯用明胶海绵栓塞支气管动脉治疗急性或顽固性大咯血疗效满意。近期复发与侧支循环有关,中远期复发可能与原发病及明胶海绵的吸收有关。 相似文献
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雾化吸入具有操作简单,安全可靠,疗效快,无任何危险等优点;凝血酶雾化吸入可随患者的吸气被吸到终未支气管及肺泡,使受损的毛细血管凝血而起到止血作用。 相似文献
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支气管动脉栓塞术治疗大咯血 总被引:23,自引:0,他引:23
支气管动脉栓塞(简称BAE)是在选择性支气管动脉插管和造影的基础上发展起来的一项治疗措拖,1974年首次由Remy报导,目前主要用于支气管大咯血。现就有关近年来的技术及疗效综述如下。 相似文献
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Internal mammary artery embolization for hemoptysis 总被引:2,自引:0,他引:2
Hashimoto M Heianna J Okane K Izumi J Watarai J 《Acta radiologica (Stockholm, Sweden : 1987)》1999,40(2):187-190
PURPOSE: The purpose of this study was to determine the factors influencing development of blood supply from the internal mammary artery and to discuss the value of embolization of the abnormal branches from this vessel using small particles following occlusion of the normal distal branches using microcoils in treating hemoptysis. MATERIAL AND METHODS: Five patients with hemoptysis underwent internal mammary artery embolization with coaxial microcatheter systems. Bronchoscopy, chest radiographs, and CT were performed to determine the site and extent of the basic disease before embolotherapy in all patients. RESULTS: In all patients, pulmonary lesions had extended from the lung to the adjacent pleural surface at the anterior lung field. Four patients underwent embolization from the proximal portion of the internal mammary artery following distal coil embolization. One patient who underwent only proximal embolization had recurrent bleeding. CONCLUSION: The internal mammary artery contributes to the perfusion of lesions responsible for hemoptysis when the basic lesion involves the pulmonary parenchyma adjacent to the anterior pleural surface. Initial distal occlusion of the internal mammary artery may improve the efficacy of embolization of this artery for hemoptysis. 相似文献
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介入治疗大咯血的临床应用 总被引:24,自引:3,他引:21
目的 研究介入治疗大咯血的临床价值。方法 2 0例经内科治疗无效的反复咯血患者 ,咯血史 3个月~ 12年不等 ,发病时咯血量 30 0~ 80 0ml 2 4h ,其中肺结核 8例 ,支气管扩张 6例 ,肺血管畸形 1例 ,肺癌伴咯血 5例。采用Seldinger技术 ,行超选择性支气管动脉栓塞治疗。栓塞材料先用 1mm×1mm× 1mm的明胶海绵颗粒 ,待血流缓慢或停止后 ,用血管栓塞胶 (D TH)以栓塞供血主干。常规行患侧锁骨下动脉、肋间动脉及对侧支气管动脉造影。以了解有无多支供血 ,发现供血血管则尽量行超选择插管栓塞治疗。结果 2 0例患者均 1次栓塞成功 ,即刻止血 18例 ,咯血明显减少 2例 ,有效率 10 0 %。无严重并发症发生。结论 介入治疗对内科治疗无效的咯血患者是一种有效、安全的治疗方法 相似文献
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目的探讨介入治疗大咯血的临床价值。
方法回顾性分析27例咯血保守治疗无效行介入治疗患者的资料。包括支气管扩张(5例)、肺癌(10例)和肺结核(12例)。采用明胶海绵和聚乙烯醇颗粒进行支气管动脉栓塞治疗。
结果治疗后27例患者出血明显减少;2例患者1周后又出现大咯血,治疗失败。治疗有效率92.59%(25/27)。
结论支气管动脉栓塞术是急性大咯血安全、方便、有效的治疗方法。 相似文献
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咯血的血管内栓塞治疗 总被引:2,自引:0,他引:2
大咯血是危及生命的临床急症,其病因很多,出血部位的供血血管也复杂。血管内栓塞术具有适应证广、禁忌证少、手术创伤小、即时止血率高、并发症少等优点,从而成为临床首选的治疗方法。本文就栓塞材料的选择、操作技术、近远期疗效、相关并发症等作一综述。 相似文献
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Experimental study of embolo-hyperthermia for treatment of liver tumor--induction heating to ferromagnetic particles injected into tumor tissue 总被引:1,自引:0,他引:1
M Hase M Sako M Fujii E Ueda T Nagae T Shimizu S Hirota M Kono 《Nihon Igaku Hōshasen Gakkai zasshi. Nippon acta radiologica》1989,49(9):1171-1173
Hepatic arterial embolization was performed on VX2 liver tumor of rabbit with subsequent induction heating to the tumor. Prior to the heating, iron particle suspension was injected into tumor tissue as a target of induction heating (500 KHZ, 9 KW). The temperatures of the tumor and liver parenchyma were measured with fluoroptic thermometer. Elevation of the tumor temperature during initial heating for 6 minutes were well correlated to the dose of iron particles injected; 1.4 degrees C with 1 g, 3.0 degrees C with 2 g, and 4.9 degrees C with 3 g. The temperature of liver parenchyma were below 39 degrees C even with 3 g injection. 相似文献
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Mucoid impaction of the bronchi 总被引:4,自引:0,他引:4
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