| 支气管动脉栓塞治疗肺结核并大咯血的疗效观察 |
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| 引用本文： | 胡华,鞠云飞,迟晶宇.支气管动脉栓塞治疗肺结核并大咯血的疗效观察[J].医学影像学杂志,2006,16(6):584-585. |
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| 作者姓名： | 胡华 鞠云飞 迟晶宇 |
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| 作者单位： | 山东省胸科医院,山东,济南,250013 |
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| 摘 要： | 目的：探讨支气管动脉栓塞治疗肺结核大咯血中的应用价值。方法：33例肺结核大咯血患者经内科保守治疗无效后行支气管动脉栓塞．栓塞材料为明胶海绵颗粒或聚乙烯醇微粒（PVA），栓塞过程在X线影像监视下完成。结果：33例支气管动脉栓塞治疗后，25例1次栓塞后止血；8例2次栓塞后止血，其中5例行支气管动脉和超选择行胸廓内动脉栓塞止血．1例在第二次栓塞后1周因再次大咯血而死亡。结论：支气管动脉栓塞对肺结核大咯血的治疗是一种安全有效而快捷的手段。
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| 关 键 词： | 肺结核 大咯血 支气管动脉栓塞 |
| 文章编号： | 1006-9011（2006）06-0584-02 |
| 收稿时间： | 2006-02-12 |
| 修稿时间： | 2006-04-18 |
The effect of bronchial artery embolization in patients with pulmonary tuberculosis with serious hemoptysis |
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| HU Hua,JU Yun-fei,CHI Jing-yu.The effect of bronchial artery embolization in patients with pulmonary tuberculosis with serious hemoptysis[J].Journal of Medical Imaging,2006,16(6):584-585. |
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| Authors: | HU Hua JU Yun-fei CHI Jing-yu |
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| Abstract: | Objective:To evaluate bronchial artery embolization in treating pulmonary tuberculosis with serious hemoptysis.Methods:33 cases of pulmonary tuberculosis with serious hemoptysis having noneffective by conservation medical therapy were treated by bronchial artery embolization and the material was polyvinyl alcohol(PVA) foam or gelatin sponge(GS).Results:The therapy by bronchial artery embolization resulted in an immediate cessation of hemoptysis in 25 of 33 cases and recurrence in 8 cases.5 of 8 cases was hemostasis by bronchial artery embolization and superselective internal thoracic artery embolization,and 1 of 8 cases died for serious hemoptysis again.Conclusion:It was an effective way to treat pulmonary tuberculosis with serious hemoptysis by bronchial artery embolization. |
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| Keywords: | Pulmonary tuberculosis Serious hemoptysis Bronchial artery embolization |
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