摘要
目的探讨选择性支气管动脉栓塞治疗大咯血的临床疗效及其对肺功能和血气的影响。方法选取2015年11月至2017年11月期间本院应用选择性支气管动脉栓塞治疗的70例大咯血患者作为研究对象,分析其治疗后的临床疗效及并发症,比较治疗前后患者的肺功能和血气情况。结果经过治疗后,痊愈17例(24.29%),显效43例(61.43%),有效9例(12.86%),无效1例(1.43%),总有效率为98.57%。2例(2.86%)患者出现发热,1例(1.43%)患者出现胸闷和背部不适,总并发症发生率为4.29%。治疗后的PEF、MMEF、FEV1、Zbei5HZ、Rat5HZ、Rat20HZ均远远高于治疗前,且治疗前后肺功能指标差异具有统计学意义(P<0.05)。70例大咯血患者治疗后的p H、BE高于治疗前,Pa CO2、Pa O2低于治疗前,且治疗前后血气指标差异具有统计学意义(P<0.05)。结论应用选择性支气管动脉栓塞治疗大咯血的临床疗效明显,明显改善了患者的肺功能和血气指标,证实了选择性支气管动脉栓塞术是治疗大咯血的安全有效的方法,值得在临床中广泛应用。
Objective To investigate the clinical efficacy of selective bronchial artery embolization in treating massive hemoptysis and its effect on pulmonary function and blood gas. Methods Seventy patients with massive hemoptysis undergoing selective bronchial artery embolization in our hospital from November 2015 to November 2017 were selected as the research object, the clinical efficacy after treatment was analyzed, and the pulmonary function and blood gas condition were compared between before and after treatment. Results After treatment, 17 cases（24.29%） were cured, 43（61.43%） were markedly effective, 9（12.86%） were effective and 1（1.43%） were ineffective after treatment. The total effective rate was 98.57%. 2 cases（2.86%） had fever, 1 cases（1.43%） had chest tightness and back discomfort, and the total complication rate was 4.29%. The PEF, MMEF, FEV1, Zbei5 HZ, Rat5 HZ and Rat20 HZ in 70 patients with massive hemoptysis were much higher than those before treatment, and the difference of the pulmonary function indexes before and after treatment was statistically significant（P〈0.05）. After treatment, the p H and BE of 70 patients with massive hemoptysis were higher than those before treatment, Pa CO2 and Pa O2 were lower than before treatment, and the difference of blood gas index before and after treatment was statistically significant（P〈0.05）. Conclusion The clinical curative effect of using selective bronchial artery embolization in treating hemoptysis is obvious, and the pulmonary function and blood gas index of patients are obviously improved. It is confirmed that selective bronchial artery embolization is a safe and effective way to treat massive hemoptysis. It is worth widely used in clinic.
作者
张焱
陶庆春
ZhangYan;Tao Qingchun(Laboratory of Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《血管与腔内血管外科杂志》
2018年第1期71-75,共5页
Journal of Vascular and Endovascular Surgery
关键词
选择性支气管动脉栓塞
大咯血
肺功能
血气
selective bronchial artery embolization
hemoptysis
pulmonary function
blood gas
