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选择性支气管动脉双重栓塞治疗大咯血的疗效分析
引用本文:张和平,蔡宇星,王文汇,陈凯,张春峰,王玮. 选择性支气管动脉双重栓塞治疗大咯血的疗效分析[J]. 中国急救医学, 2007, 27(9): 809-811
作者姓名:张和平  蔡宇星  王文汇  陈凯  张春峰  王玮
作者单位:宝鸡市中心医院呼吸科,陕西,721008
摘    要:目的探讨选择性支气管动脉双重栓塞治疗大咯血的疗效。方法32例大咯血患者行选择性支气管动脉插管造影、确认病变血管,分别在支气管动脉主干或分支行栓塞术,栓塞物质为明胶海绵颗粒、明胶海绵条。结果选择性双重栓塞支气管动脉治疗大咯血有效率93.8%,复发率9.3%,无脊髓栓塞、下肢血栓形成严重并发症病例发生。结论选择性双重栓塞支气管动脉治疗大咯血安全、有效。

关 键 词:咯血  治疗  支气管动脉栓塞
文章编号:1002-1949(2007)09-0809-03
修稿时间:2007-04-16

Curative effect of double embolization of bronchial artery for the patients with massive hemoptysis
ZHANG He -ping, CAI Yu -xing, WANG Wen -hui,et al.. Curative effect of double embolization of bronchial artery for the patients with massive hemoptysis[J]. Chinese Journal of Critical Care Medicine, 2007, 27(9): 809-811
Authors:ZHANG He -ping   CAI Yu -xing   WANG Wen -hui  et al.
Affiliation:Department of Respiratory, Baoji Municipal Central Hospital, Baoji 721008, China
Abstract:Objective To study the curative effect of double embolization of bronchial artery for the patients with massive hemoptysis. Method To observe blood supply of lesions in 32 cases by bronchial angiography.Embolization was then performed in bronchial artery or its branches. Embolic agents were Gelfoam particles and Gelfoam strips. Results The general effective rate were 93.8%,recurrence rate were 9.3%. The patients did not have the serious complications. Conclusion The double embolization of bronchial artery is effective and safe for patients with massive hemoptysis.
Keywords:Hemoptysis  Therapy  Bronchial arterial embolization
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