紧急动脉栓塞治疗大咯血 |
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引用本文: | 王克金,李中华,张春成,文浩. 紧急动脉栓塞治疗大咯血[J]. 实用医药杂志(山东), 2003, 20(10): 723-724 |
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作者姓名: | 王克金 李中华 张春成 文浩 |
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作者单位: | [1]151医院放射科,河南安阳455000 [2]71620部队医院,河南安阳455000 |
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摘 要: | 目的评价介入栓塞治疗大咯血的疗效。方法16例大咯血患者行介入栓塞治疗,肺结核10例,支气管扩张6例;栓塞支气管动脉24支,肋间动脉6支,右乳内动脉1支。结果即刻止血13例,咯血明显减少2例,失败1例;随访3~48个月,3例复发,2例再次栓塞治疗咯血停止,1例内科保守治疗成功。本组未发生脊髓损伤及异位栓塞综合征。结论大咯血患者行介入栓塞治疗止血快,疗效显著,安全可靠。
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关 键 词: | 支气管动脉 栓塞 咯血 |
修稿时间: | 2003-05-27 |
Acute atrerial-embolization in treatment of massive pulmonary hemoptysis |
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Abstract: | Objective To evaluate the role of acute arterial -embolization in controlling massive hemoptysis.Methods Acute bronchial arterial-embolization was performed in16patients with massive hemoptysis(pulmonary tuberculosis,10patients;bronchiectasis,6).Above all patients,24bronchial arteries,6intercostal arteries and right internal mammary artery were embolizated.Results Hemoptysis was controlled immediately in13patients,decreased significantly in2patients,failed in1patient.The follow-up time ranged3-48monthes,hemoptysis was happened again in3patients,of whom emboliazated again in2patients,then hemoptysis was controlled,other patient was successfully suffered to internal conserved treatment.There was no spinal cord injury and no other ectopic arerial-embolization syndrome.Conclusion The efficacy of acute arterial-embolization in controlling hemoptysis is obvious,and it is safe. |
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Keywords: | Bronchial artery Embolization Hemoptysis |
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