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目的:研究分析选择性支气管动脉栓塞联合垂体后叶素治疗大咯血的临床疗效。方法:选取经内科非手术治疗无效的大咯血患者72例,随机分为观察组(36例)和对照组(36组),观察组患者采用选择性支气管动脉栓塞联合垂体后叶素治疗,对照组患者只采用支气管动脉栓塞术,观察比较两组大咯血患者止血效果及术后并发症。结果:两组患者术后均有很好的止血效果,观察组患者临床止血疗效及术后复发率明显低于对照组,观察组患者术后并发症如胸闷、心慌等明显少于对照组,差异均有统计学意义(P<0.05)。结论:选择性支气管动脉栓塞联合垂体后叶素治疗大咯血止血疗效显著,患者复发率小,并发症较少,值得临床推广与应用。
Objective: To study the clinical efficacy of selective bronchial artery embolization combined with pituitrin in the treatment of massive hemoptysis. Methods: Seventy-two patients with massive hemoptysis who were not treated by internal medicine were randomly divided into observation group (36 cases) and control group (36 cases). The patients in observation group were treated with selective bronchial artery embolization combined with vasopressin. The patients were treated with bronchial artery embolization only. The hemostatic effect and postoperative complications were observed and compared between the two groups. Results: Both groups had good hemostatic effect after operation. The clinical hemostasis efficacy and postoperative recurrence rate in observation group were significantly lower than those in control group. Postoperative complications such as chest tightness and palpitation in observation group were significantly less than those in control group, The differences were statistically significant (P <0.05). Conclusion: The selective bronchial artery embolization combined with pituitrin treatment of massive hemoptysis hemostasis significant effect, the recurrence rate of patients with small, fewer complications, is worthy of clinical promotion and application.