| 肺栓塞合并支气管动脉-肺动脉瘘导致咯血的介入治疗 |
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| 引用本文： | 李文涛,王建华,欧阳强,李惠民,董生.肺栓塞合并支气管动脉-肺动脉瘘导致咯血的介入治疗[J].中国医学计算机成像杂志,2006,12(1):52-54. |
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| 作者姓名： | 李文涛 王建华 欧阳强 李惠民 董生 |
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| 作者单位： | 1. 200003,第二军医大学长征医院影像科
2. 复旦大学附属中山医院放射科 |
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| 摘 要： | 目的:通过肺动脉、支气管动脉造影分析慢性肺动脉栓塞后咯血的原因,并探讨对其介入治疗的安全性和有效性。材料和方法:CT和导管法肺动脉造影证实的慢性肺栓塞13例,其中伴咯血7例(男性1例,女性6例)。对咯血者进行支气管动脉造影后行支气管动脉栓塞治疗。结果:7例肺栓塞伴咯血者的支气管动脉造影均发现支气管动脉-肺动脉瘘,行支气管动脉栓塞术后咯血消失,短期随访生活质量明显改善。结论:支气管动脉-肺动脉瘘是慢性肺动脉栓塞后咯血的主要原因,行支气管动脉栓塞治疗可有效地控制咯血,并且对肺的血供无明显不良影响。
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| 关 键 词： | 肺栓塞 咯血 介入治疗 |
Interventional Treatment of Hemoptysis Associated with Pulmonary Embolism |
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| Li Wentao, Wang Jianhua, Ouyang Qiang, et al.Interventional Treatment of Hemoptysis Associated with Pulmonary Embolism[J].Chinese Computed Medical Imaging,2006,12(1):52-54. |
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| Authors: | Li Wentao Wang Jianhua Ouyang Qiang |
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| Institution: | Department of Imageology, Changzheng Hospital, the Second Military Medical University, Shanghai 200003 |
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| Abstract: | Purpose:To analyze the causes of hemoptysis associated with PE by pulmonary and bronchial angiogra-phy.To discuss the possibility and safety of the interventional treatment of hemoptysis.Materials and Methods:13cases of PE identified by CTPA and pulmonary angiography,7cases,1male and6femals,with hemoptysis.Bronchial artery angiogranphy and embolization were performed.Results:The most important cause of hemoptysis identified by bronchial angiography is pulmono-bronchial shunt in PE patients.Bronchial artery embolization can provide effective control of hemorrhage in all patients of this group.Life qualities of the patients were improved.Conclusion:The main cause of hemoptysis in chronic PE patients is pulmono-bronchial shunt.Bronchial arteryembolization could control the hemop-tysis effectively,but has no effect on blood supply of lung. |
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| Keywords: | Pulmonary embolism Hemoptysis Interventional Treatment |
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