| 选择性支气管动脉栓塞术治疗大咯血25例临床分析 |
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| 引用本文： | 汪名权,熊壮,余永强,张国兵,朱赤,张德志.选择性支气管动脉栓塞术治疗大咯血25例临床分析[J].安徽医药,2009,13(5):515-517. |
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| 作者姓名： | 汪名权 熊壮 余永强 张国兵 朱赤 张德志 |
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| 作者单位： | 安徽医科大学第一附属医院放射科,安徽,合肥,230022;安徽医科大学第一附属医院放射科,安徽,合肥,230022;安徽医科大学第一附属医院放射科,安徽,合肥,230022;安徽医科大学第一附属医院放射科,安徽,合肥,230022;安徽医科大学第一附属医院放射科,安徽,合肥,230022;安徽医科大学第一附属医院放射科,安徽,合肥,230022 |
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| 摘 要： | 目的针对支气管动脉栓塞术治疗大咯血的临床分析。方法对25例大咯血患者（支气管扩张18例、肺结核3例、肺癌1例、支气管动静脉畸形2例、原因不明咯血1例）行选择性支气管动脉栓塞治疗。其中支气管动脉栓塞22例，使用明胶海绵颗粒加明胶海绵条栓塞15例，使用明胶海绵条与聚乙烯醇颗粒联合栓塞2例。使用明胶海绵颗粒与钢圈联合栓塞5例。结果栓塞后即刻止血19例，咯血量明显减少3例。1例复发患者再次行栓塞治疗后未再出现咯血。有效率为88％（22／25）。全部病例无并发症发生。结论支气管动脉栓塞术是治疗肺大咯血的一种安全、有效、微创的方法。
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| 关 键 词： | 支气管动脉栓塞术 咯血 |
Clinical value of selective bronchial arterial embolism in treatment of 25 hemoptysis |
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| WANG Ming-quan,XIONG Zhuang,YU Yong-qiang,ZHANG Guo-bing,ZHU Chi,ZHANG De-zhi.Clinical value of selective bronchial arterial embolism in treatment of 25 hemoptysis[J].Anhui Medical and Pharmaceutical Journal,2009,13(5):515-517. |
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| Authors: | WANG Ming-quan XIONG Zhuang YU Yong-qiang ZHANG Guo-bing ZHU Chi ZHANG De-zhi |
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| Institution: | WANG Ming-quan,XIONG Zhuang,YU Yong-qiang,ZHANG Guo-bing,ZHU Chi,ZHANG De-zhi(Department of Radiology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022) |
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| Abstract: | Aim To analyze the clinical value of bronchial artery embolization in treatment of massive hemoptysis.Method 25 patients with hemoptysis including bronchiectasis in 18 cases,pulmonary tuberculosis 3 cases,bronchial carcinoma 1 case,bronchial arteriovenousmalformation 2 cases and unknown hemoptysis 1 cases underwent embolized treatment of bronchial arteriography.Of them,bronchial artery embolization were performed in 22 cases.In the total 25 cases,gelatin sponge particles(GSP)and gelatin sponge strip was use... |
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| Keywords: | bronchial arterial embolism hemoptysis |
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