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支气管动脉栓塞术治疗严重咯血的临床评价 被引量:3

Clinical evaluation on bronchial artery embolization in the treatment of severe hemoptysis
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摘要 目的:评价支气管动脉栓塞术治疗难治性咯血患者的临床疗效。方法:对44位患者使用聚乙烯醇(polyvinyl alcohol,PVA)、弹簧圈、Onyx胶中的1种或2种进行支气管动脉栓塞。结果:44例患者共进行支气管动脉栓塞术48次,最终咯血完全停止,有效率90.9%。4位患者于治疗后再次复发,复发率9.1%,药物止血治疗后咯血停止。栓塞后有6位患者出现胸腹痛,均自行缓解,未出现异位栓塞等严重并发症。结论:支气管动脉栓塞术是一种快速、安全、有效治疗难治性咯血的方法。 Objective:To evaluate the clinical effects of bronchial artery embolization(BAE)on refractory hemoptysis. Methods:Fortyfour patients with hemoptysis were treated with BAE using one or more of polyvinyl alcohol(PAV),metallic colis and Onyx. Results:Totally 48 times of BAE were successfully performed on all patients,who stopped hemoptysis with the overall effective rate of90.9%. Hemoptysis recurred in 4 cases with the recurrent rate of 9.1%. After BAE,6 patients developed chest pain and 1 patient developed abdomen pain,but all relieved without any treatment.No case of ectopic embolization,spinal cord injury and other serious complication was observed. Conclusion:Bronchial artery embolization is a fast,safe and effective approach in the treatment of refractory hemoptysis.
出处 《重庆医科大学学报》 CAS CSCD 北大核心 2015年第4期631-633,共3页 Journal of Chongqing Medical University
基金 重庆市科委应用开发计划资助项目(编号:CSTC2014yykf A11026)
关键词 咯血 支气管动脉 动脉栓塞术 hemoptysis bronchial artery artery emblization
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