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目的 探讨大咳血时动脉造影栓塞的治疗意义。方法 对32例大咯血患者进行选择性支气管动脉造影及栓塞治疗。病因包括:支气管扩张症16例,支气管扩张症伴陈旧性肺结核7例,侵润性肺结核2例,支气管肺癌3例,不能确定病因4例,按病情分二组:急诊治疗组,择期治疗组。结果 急诊组疗效达88.9％,择期组达100％。二组均无严重并发症,择期组轻于急诊组。4例不能确定病因的患者亦达满意效果。结论 支气管动脉造影及栓塞治疗能进一步明确出血性病变的诊断,也是有价值的治疗方法。
Objective To investigate the therapeutic effect of arteriography and embolization in the case of hemoptysis. Methods Selective bronchial angiography and embolization were performed on 32 patients with massive hemoptysis. Causes include: bronchiectasis in 16 cases, bronchiectasis with old tuberculosis in 7 cases, invasive tuberculosis in 2 cases, bronchogenic carcinoma in 3 cases, can not determine the cause of 4 cases, divided into two groups according to the disease: emergency treatment group, elective treatment group . Results The efficacy of emergency group reached 88.9%, elective group reached 100%. No serious complications were found in both groups, and the elective group was lighter than the emergency group. Four patients were unable to determine the cause of the disease also reached satisfactory results. Conclusion Bronchial artery angiography and embolization can further confirm the diagnosis of hemorrhagic lesions, but also a valuable treatment.