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介入治疗肺结核大咯血的临床价值研究
引用本文:尹华,王学静,贾广志. 介入治疗肺结核大咯血的临床价值研究[J]. 内蒙古医学杂志, 2006, 38(5): 434-435
作者姓名:尹华  王学静  贾广志
作者单位:内蒙古医学院附属医院介入科,内蒙古,呼和浩特,010050;内蒙古医学院附属医院介入科,内蒙古,呼和浩特,010050;内蒙古医学院附属医院介入科,内蒙古,呼和浩特,010050
摘    要:目的:探讨介入治疗肺结核大咯血的临床疗效。方法:16例经内科药物止血治疗无效的肺结核大咯血患者,咯血史1~10年,发病时咯血量300~600ml。采用Seldinger技术,用明胶海绵为栓塞材料,行超选择性支气管动脉栓塞治疗。结果:16例患者有13例一次栓塞成功,3例复发,经再次栓塞后出血停止。结论:选择性支气管动脉栓塞治疗是对内科治疗无效的肺结核急性大咯血安全、有效的救治方法。

关 键 词:肺结核  咯血  支气管动脉  栓塞
文章编号:1004-0951(2006)05-0434-02
收稿时间:2005-07-27
修稿时间:2005-07-27

The Study of The Clinical Effect of Massive Hemoptysis of Tuberculosis with Treatment of Interventional Therapy
YIN Hua,WANG Xue-jing,JIA Guang-zhi. The Study of The Clinical Effect of Massive Hemoptysis of Tuberculosis with Treatment of Interventional Therapy[J]. Inner Mongolia Medical Journal, 2006, 38(5): 434-435
Authors:YIN Hua  WANG Xue-jing  JIA Guang-zhi
Affiliation:Department of Interventional Radiology,The Affiliated Hospital of Inner Mongolia Medical College, Huhhot 010050 China
Abstract:Objective:To evaluate the clinical effect of massive hemoptysis of tuberculosis with treatment of interventional therapy.Methods:16 patients who presented with massive hemoptysis (300ml to 600ml of blood in 24 hours)underwent bronchial artery embolization.Embolization was performed with the following methods:branches of bronchial artery participated embolization with particles of gel foam,the main truck of bronchial artery obturation with medical embolism glue(D-TH).Results:Embolization was carried out in 16 patients.Immediate control of hemoptysis was achieved in 13 patients.3 patients of recurrence were successful in treating with twice embolization.Conclusions:Interventional embolization is an effective and safe treatment to the tuberculosis with massive hemoptysis.
Keywords:Tuberculosis  Hemoptysis  Bronchial artery  Embolization
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