| 体-肺循环分流与大咯血(附62例报告) |
| |
| 引用本文： | 伍筱梅,赖清,陈永富,任医民,梁荣光,宋玉全. 体-肺循环分流与大咯血(附62例报告)[J]. 中国现代医学杂志, 2008, 18(7): 939-943 |
| |
| 作者姓名： | 伍筱梅 赖清 陈永富 任医民 梁荣光 宋玉全 |
| |
| 作者单位： | 1. 南方医科大学南方医院,放射科,广东,广州,510515;广州医学院第一附属医院,放射科,广东,广州,510120
2. 广州医学院第一附属医院,放射科,广东,广州,510120 |
| |
| 摘 要： | 目的探讨体-肺循环分流（BPS）与大咯血的相关性及其介入干预。方法1999年4月-2006年7月咯血患者62例。其中，男39例，女23例；年龄26-84岁。咯血量300～2500mL／24h。回顾相关支气管体动脉造影，观察其形态学和血流动力学改变。综合影像学和临床资料，分析BPS与大咯血的关系；原发病、胸膜增厚与BPS的关系；BPS与咯血复发的关系；以及BPS的介入治疗。所有数据经χ^2分析处理。结果BPS与大咯血关系密切；BPS与支气管扩张、显著的胸膜增厚等相关；BPS是不明原因咯血的主要因素；栓塞优势供血动脉后，BPS可诱使非优势动脉甚至隐匿侧支开放。结论BPS是大咯血的重要因素，也是栓塞后复发咯血的重要原因。BPS常伴随于各种原因引起的支气管扩张和严重胸膜增厚。彻底栓塞BPS及其供血动脉是预防咯血复发的关键。
|
| 关 键 词： | 咯血 支气管体-肺循环分流 支气管动脉造影 动脉栓塞术 肺循环 大咯血 hemoptysis massive shunt Relationship cases 预防 严重 供血动脉 优势 栓塞 因素 BIAS 支气管扩张 结果 分析处理 数据 介入治疗 复发 |
| 文章编号： | 1005-8982(2008)07-0939-05 |
| 修稿时间： | 2007-08-20 |
elationship between broncho-pulmonary shunt and massive hemoptysis (A report of 62 cases) |
| |
| WU Xiao-mei,LAI Qing,CHEN Yong-fu,REN Yi-min,LIANG Rong-guang,SONG Yu-quan. elationship between broncho-pulmonary shunt and massive hemoptysis (A report of 62 cases)[J]. China Journal of Modern Medicine, 2008, 18(7): 939-943 |
| |
| Authors: | WU Xiao-mei LAI Qing CHEN Yong-fu REN Yi-min LIANG Rong-guang SONG Yu-quan |
| |
| Affiliation: | WU Xiao-mei1,2,LAI Qing2,CHEN Yong-fu2,REN Yi-min2,LIANG Rong-guang2,SONG Yu-quan2 (1.Department of Radiology,Nanfang Hospital,Nanfang Medical University,Guangzhou,Guangdong 510515,P.R.China,2.Department of Radiology,the First Affiliated Hospital,Guangzhou Medical College,Guangdong 510120,P.R.China) |
| |
| Abstract: | [Objection] To investigate the relationship between systemic- pulmonary circulation shunt and massive hemoptysis, and the correlative factors to shunts, to study the intervention of shunts. [Methods] 62 cases of Bronchial hemoptysis with varied bleeding volume from 300~2500 mL/24 hrs treated with superselective arterial embolizations during 1994.4~2006.7 (39 males, 23 females, aged from 26~84) were studied retrospectively. Morphologic and dynamic changes of the bronchial circulation in systemic bronchial an... |
| |
| Keywords: | hemoptysis bronchopulmonary shunt bronchial angiography arterial embolization |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
