| 大咯血的急诊介入治疗 |
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| 引用本文： | 康怀兰,郭秀凤.大咯血的急诊介入治疗[J].临床肺科杂志,2006,11(2):191-192. |
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| 作者姓名： | 康怀兰 郭秀凤 |
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| 作者单位： | 271126,山东省莱芜钢铁集团公司医院;271126,山东省莱芜钢铁集团公司医院 |
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| 摘 要： | 目的探讨支气管动脉栓塞治疗大咯血的适应症、并发症和疗效等。方法分析自2001年7月至2004年7月我院收治的急性大咯血患者63例。24小时咯血量为500-1550ml,平均610ml,以Seldinger技术穿刺右股动脉插管,再行患侧支气管动脉选择性插管,造影并栓塞出血血管。结果栓塞后,所有病例咯血量明显减少,24小时咯血量<50ml,并在3-5天内咯血停止,5例患者栓塞后1-2个月症状复发,行再次栓塞后未再咯血。全组无严重并发症。结论支气管动脉栓塞治疗大咯血安全有效。
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| 关 键 词： | 咯血 栓塞 |
| 收稿时间： | 11 17 2005 12:00AM |
| 修稿时间： | 2005年11月17 |
Embolotherapy for the management of massive hemoptysis |
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| Kang Huailan.Embolotherapy for the management of massive hemoptysis[J].Journal of Clinical Pulmonary Medicine,2006,11(2):191-192. |
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| Authors: | Kang Huailan |
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| Institution: | General Hospital of lai wu Iron and Steel ompany,Lai wu 271126 |
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| Abstract: | Objective To investigate the indication,complication and efficacy of bronchial artery embolization for the management of massive hemoptysis.Methods Sixty-three cases of acute massive hemoptysis were retrospectively analyzed in our hospital from July 2001 to July 2004.All cases presented with acute hemoptysis from 500ml to 1550ml daily,with a mean of 610ml daily.A dogital subtraccted bronchial arteriogram was performed and bleeding arteries were embolized.Results Hemoptysis decreased gradually in all cases and ceased in 3 or 5 days after embolization.Recurrence was found only in five cases one to two months after embolization and second embolization was applied to control hemoptysis.No serious complications occurred.Conclusion Bronchial artery embolization is safe and efficient for the management of acute wassive hemoptysis. |
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| Keywords: | Hepmoptysis Embolizaton |
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