支气管动脉栓塞术治疗大咯血46例临床观察

摘要

目的：观察支气管动脉栓塞术治疗大咯血的临床效果.方法：46例大咯血患者行胸部CT,支气管动脉造影检查确定出血部位后,使用明胶海绵、PVA颗粒栓塞病变血管.结果：支气管动脉栓塞治疗后24例(52.17%)即刻咯血停止；15例(32.61%)咯血显著减少,3 d内咯血逐渐停止；共计治疗显效39例(84.78%).7例(15.22%)治疗无效,其中2例(4.35%)死亡,5例转外科治疗.8例患者出现并发症,症状均较轻,在3~5 d后症状消失.结论：支气管动脉栓塞治疗大咯血安全、有效、微创.为常规内科止血治疗无效,无外科手术指征的患者提供了一种较好的治疗手段.%　　Objective:To observe bronchial artery embolization for massive hemoptysis clinical effect.Method:The 46 cases were tested by chest CT,bronchial artery angiography revealed the site of bleeding,Use gelatin sponge or polyvinyl alcohol(PVA)particles to embolizate vascular lesions. Result:Bronchial artery embolization for the treatment of 24 cases(52.17%)immediately stopped hemoptysis;in 15 cases(32.61%)with significantly reduced,within 3 days of hemoptysis stopped;total treatment effectiveness in 39 cases(84.78%).In 7 cases(15.22%)non-effective treatment,and the 2 patients(4.35%)died,and 5 cases of surgical treatment.8 patients had complications,symptoms were mild,after 3~5 days the symptoms were disappeard.Conclusion:Bronchial artery embolization for treatment of massive hemoptysis is safe,effective,minimally invasive.For the conventional medical hemostatic treatment is ineffective,without surgical operation indications in patients provide a better therapeutic means.