大咯血的支气管动脉栓塞治疗

目的探讨支气管动脉栓塞治疗大咯血的方法及疗效。方法对12例大咯血或反复咯血的病人用明胶海绵或PVA颗粒栓塞支气管动脉。12例病人中,支气管扩张10例;肺结核2例。先行支气管动脉、肋间动脉造影,确定出血血管后,用明胶海绵颗粒或PVA颗粒栓塞,直到支气管动脉闭塞为止。结果即刻止血10例,术后咯血完全停止;2例咯血明显减少,经内科保守治疗咯血停止。随访3月-1年不等,1例肺结核1年复发。结论支气管动脉栓塞是治疗大咯血的有效方法,效果确切,止血迅速。

Bronchial artery embolization for massive hemoptysis

Objective To investigate the treatment of massive hemoptysis with bronchial artery embolization and efficacy of the method.Methods：Twelve cases of large or repeated hemoptysis was embolized bronchial arteries with PVA particles or gelatin sponge.In 12 patients,bronchiectasis was 10 cases;tuberculosis 2 cases.First artery,intercostal artery angiography was done to determine the bleeding vessel,the use of gelatin sponge particles or PVA particle was used to embolize the bronchial artery.Results：Immediate hemostasis was achieved in 10 cases with complete cessation of hemoptysis;hemoptysis in 2 cases was significantly reduced,and by conservative medical treatment hemoptysis was stopped.In 3-12 months＇ follow-up,1 case of pulmonary tuberculosis recurrence.Conclusion：Bronchial artery embolization is an effective method of treatment of massive hemoptysis.