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| 致命性大咯血的支气管动脉栓塞治疗 | |
| 引用本文： | 戚跃勇,戴书华,邹利光,谢启超,王建春,刘士辰.致命性大咯血的支气管动脉栓塞治疗[J].医学影像学杂志,2006,16(1):39-41. |
| 作者姓名： | 戚跃勇 戴书华 邹利光 谢启超 王建春 刘士辰 |
| 作者单位： | 1. 第三军医大学新桥医院放射科,重庆,400037 2. 第三军医大学新桥医院肿瘤科,重庆,400037 3. 第三军医大学新桥医院呼吸研究所,重庆,400037 |
| 摘 要： | 目的:探讨支气管动脉栓塞术治疗致命性大咯血的价值。方法:34例致命性大咯血患者用明胶海绵颗粒行支气管动脉栓塞。按治疗方式分为2组,支气管动脉逐级间歇性完全栓塞20例(A组),单纯支气管动脉栓塞者14例(B组)。结果:总有效率为82.4%(28/34),总复发率为29.4%(10/34)。A组较B组疗效好、复发率低(P<0.05)。主要的并发症为自限性短暂的胸痛和发烧。结论:支气管动脉栓塞术是致命性大咯血的一种安全、微创、高效的治疗方法。 |
| 关 键 词： | 咯血 支气管动脉 栓塞 治疗性 |
| 文章编号： | 1006-9011（2006）01-0039-03 |
| 收稿时间： | 2003-03-29 |
| 修稿时间： | 2003-12-09 |
Bronchial artery embolization in the management of massive life-threatening hemoptysis |
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| QI Yue-yong, DAI Shu-hua, ZOU Li-guang ,et al..Bronchial artery embolization in the management of massive life-threatening hemoptysis[J].Journal of Medical Imaging,2006,16(1):39-41. | |
| Authors: | QI Yue-yong DAI Shu-hua ZOU Li-guang |
| Institution: | QI Yue-yong, DAI Shu-hua, ZOU Li-guang , et al. |
| Abstract: | Objective:To evaluate the value of bronchial artery embolization(BAE) in the management of massive life-threatening hemoptysis.Methods:Thirty-four patients with massive life-threatening hemoptysis underwent BAE by transfemoral arterial approach using gelfoam particles.Thirty-four cases were divided into two groups,20 cases received the interval gradual complete embolization of BAE in Group A,the other used the traditional embolization in Group B.Results:The overall effective rate and recurrence rate for 1 year were 82.4%(28/34),29.4%(10/34),respectively.The Group A was superior to the Group B in the overall effective rate and recurrence rate.The difference was statistically significant(P<0.05).The remarkable complications derived from the procedure included self-limited transient thoracic pain and fever.Conclusion:BAE is a safe,less invasive and effective method in the management of massive life-threatening hemoptysis. |
| Keywords: | Hemoptysis Bronchial artery Embolization therapeutic |
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