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大咯血是呼吸科常见急诊之一。本院从1994年4月至1999年3月对大咯血病人,经内科常规治疗无效及缺乏手术指征者或不愿手术者给予支气管动脉栓塞(BAE)治疗,取得满意疗效,现分析如下。 1 临床资料 男性17例,女性11例。年龄24～70岁,平均年龄48岁。支气管扩张16例(57.1％),肺癌9例(32.2％),肺结核3例(10.7％)。咯血量均达到每次>150ml或每日>500ml,最大咯血量达每日2000ml。所有病人均经内科常规治疗24～48小时无法止血且缺乏手术指征或不愿手术者。 2 方法 采用Seldinger插管法,将导管头插入病侧支气管动脉,做支气管动脉造影,显示病变部位的供血血管均有明显的异常改变,如供应支迂回增粗、分支增多、分布紊乱、聚集成团状或网状交织等等。造影确定供应咯血的支气管动脉后行BEA治疗。栓塞材
Hemoptysis is one of the most common emergency department of respiratory medicine. The hospital from April 1994 to March 1999 for patients with hemoptysis, the conventional medical treatment ineffective and lack of surgical indications or those who do not want to be given bronchial artery embolization (BAE) treatment, and achieved satisfactory results, are analyzed as follows. 1 clinical data of 17 males and 11 females. Age 24 to 70 years old, average age 48 years old. Bronchiectasis in 16 cases (57.1%), lung cancer in 9 cases (32.2%), tuberculosis in 3 cases (10.7%). Hemoptysis volume reached each> 150ml or daily> 500ml, the maximum amount of hemoptysis daily 2,000ml. All patients were routine medical treatment of 24 to 48 hours can not stop bleeding and lack of surgical indications or unwilling surgery. 2 Methods Seldinger intubation method, the catheter inserted into the lesion side of the bronchial artery bronchial artery angiography, showing lesions of the blood vessels were significantly abnormal changes, such as the supply of branches thickening, branching increased, the distribution of disorders, gathered into Dough or mesh intertwined and so on. Bronchial artery angiography confirmed the supply of hemoptysis BEA treatment. Plug material