医用明胶海绵栓塞支气管动脉治疗大咯血 （52例病人长期随访观察）

目的评价明胶海绵栓塞支气管动脉对大咯血病人的疗效。方法利用明胶海绵栓塞52例大咯血或顽固性咯血病人的支气管动脉，其中45例栓塞单支支气管动脉，3例栓塞同侧两支支气管动脉，4例行双侧支气管动脉栓塞。52例病人，其中肺结核38例，支气管扩张9例，肺癌4例。支气管动静脉畸形出血1例。结果经3个月～9年的随访，47例栓塞后咯血完全控制，4例仍有间断性痰中带血，但出血量明显减少，出血间隔时间延长。1例支气管动静脉畸形栓塞后出血停止，但48h后发生急性大咯血窒息死亡。结论明胶海绵栓塞支气管动脉是治疗大咯血和顽固性咯血的有效手段。

Treatment of Hemoptysis by Embolizing Bronchial Arteries with Gelfoam (A Long-term Follow-up Result in 52 Cases)

Objective To evaluate the role of bronchial arterial embolization in controlling hemoptysis.Methods Bronchial arterialembolization with Gelfoam was performed in 52 patients with hemoptysis (pulmonary tuberculosis 38 cases,bronchiectasis 9 cases,pulmonary carcinoma 4 cases,bronchial arteriovenous malfomation 1 case).Single bronchial artery was embolizated in 45 patients,isolateral 2 bronchial arteries in 3 patients,and bilateral bronchial arteries in 4 patients.Results During follow-up between 3 monthes and 9 years,hemoptysis was controlled completely in 47 patients,and 4 patients still had little hemoptysis but prolonged intervals.There was 1 patient with AVM died of acute hemoptysis 48 hours later,although his hemoptysis was controlled provisionally after embolization.Conclusion Embolization of bronchial artery with Gelfoam is effective method for controlling refractory hemoptysis.