支气管动脉栓塞治疗急性大咯血的临床应用

目的评价选择性支气管动脉栓塞对治疗急性大咯血的效果。方法49例大咯血病人包括经临床与放射学证实的肺结核21例，支气管黏膜结核4例，支气管扩张18例，以及晚期肺癌6例，均经选择性支气管动脉栓塞治疗。栓塞治疗后，全部病人经随访6个月至18个月。结果栓塞治疗后12h．49例中的46例(93．9％)被成功地止血，其余3例栓塞后再次咯血，再行栓塞治疗后，咯血停止。在随访6个月至18个月期间，除3例肺癌与1例肺结核偶有痰血外，未发生与栓塞治疗操作相关的严重并发症．结论选择性支气管动脉栓塞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。

Clinical applications of selective bronchial artery embolization in the management of acute hemoptysis

Objective To assess the efficacy of selective bronchial artery embolization (SBAE) in the management of acute hemoptysis.Methods Forty-nine patients with acute hemoptysis,who included clinically and radiologically proved 21 pulmonary tuberculosis,4 bronchial mucosal tuberculosis,18 bronchiectasis,and 6 advanced lung cancers underwent SBAE.After SBAE,all patients were followed up for 6 to 18 months.Results 46 of 49 patients with acute hemoptysis were immediately hemostatic at 12 hour after SBAE.The effective rate was 93.9 %.Other 3 patients with recurrence of hemoptysis underwent again SBAE and obtained the hemostatic efficacy.During followed up 6 to 18 months,there were no severe complications related to the procedure,except occacional bloody sputa in 3 patients with lung cancer and 1 patient with pulmonary tuberculosis.Conclusion SBAE is now a better means for treating the acute hemoptysis so that it is worth wide application.