经纤维支气管镜气道内置入双腔球囊导管治疗支气管扩张咯血

目的 观察经纤维支气管镜（纤支镜）气道内置入双腔球囊导管治疗支气管扩张咯血的疗效。方法 支气管扩张咯血经常规内科治疗无效者15例，经纤支镜于出血部位置入新型气道内双腔球囊导管，压迫出血的支气管，观察球囊内注入的液体量、止血时间、停留导管时间、停留导管的副作用等。结果 15例患者均顺利置入导管，出血立即停止，停留导管时间为2-4d不等，无明显副作用。结论 该技术操作简便、疗效迅速可靠，患者容易耐受。

The effect of transbronchoscopic double-lumen balloon tamponading for the management of haemoptysis in bronchiectasis

Objective　To evaluate the efficacy of managing haemoptysis caused by bronchiectasis with the double-lumen, bronchus-blocking catheter that can be introduced through the working channel of a standard fibrobronchoscope to the location of bleeding. Methods Fifteen patients suffered from bronchiectasis with haemoptysis were studied. The positions of catheters, duration of tamponade, outcome and complications were observed. Result Sixteen catheters were inserted and were left in position for 2～4 days. Bleeding stopped immediately after the balloons were inflated. The blocking procedure took only several minutes. There were hardly any complications due to the balloon. Conclusion This procedure is practical, simple and well-tolerated by the patients in controlling haemoptysis caused by bronchiectasis.