本文报道同轴徽导管超选择性支气管动脉插管治疗8例内科治疗无效的大咯血病人。8例均达到立即止血的目的,一例首次选择性支气管动脉栓塞3天后复发出血,行超选择栓塞后未再次出血。随访2～9个月,一例栓塞两月后原发病恶化并复发出血拒治死亡,其余病人无复发出血,无严重并发症发生。结果表明超选择性支气管动脉栓塞止血操作简单,止血迅速,效果确切,并发症少,是一值得推广的技术。 This article reports the coaxial emblem catheter super selective bronchial artery catheterization treatment of 8 cases of medical treatment of patients with massive hemoptysis. All 8 patients achieved immediate hemostasis. One case had recurrent hemorrhage 3 days after the first selective bronchial artery embolization, and no hemorrhage occurred after superselective embolization. Follow-up 2 to 9 months, one case of two months after the embolization of the primary disease and recurrent bleeding refused refuse to death, the rest of patients without recurrence of bleeding, no serious complications. The results show that the super selective bronchial artery embolization is simple, rapid hemostasis, exact effect, less complications, is a worth promoting technology.