支气管动脉栓塞治疗大咯血的临床应用

目的 评价选择性支气管动脉栓塞术治疗大咯血的疗效.方法 42例急性大咯血患者均采用Seldinger＇s技术经皮穿刺股动脉,行选择性支气管动脉插管,经导管注入明胶海绵颗粒和/或聚乙烯醇颗粒（PVA）行支气管动脉栓塞治疗.术后全部病人随访3～24个月.结果 即时止血成功率为97.6%,近期复发率为4.8%,中远期复发率为零.结论 选择性支气管动脉栓塞术是目前治疗急性大咯血的一种较好方法,值得进一步推广应用.

Study on clinical application of bronchial artery embolization in massive haemoptysis

Objective To assess the efficacy of selective bronchial artery embolization （SBAE） in the management of a- cute hemoptysis. Methods 42 cases with acute hemoptysis underwent selective bronchial artery embolization with gelatine foam particles or （and） PVA by using Seldinger＇s technique. All patients were followed up for 3 to 24 months after SBAE. Results The SBAE resulted in an immediate cessation of haemoptysis in 97.6% cases, short term recurrent ratio was 4.8 %. Mid and long term recurrent patients were not found. Conclusion SBAE is now a better means for treating acute hemoptysis so that it is worthwhile to be popularized.