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目的观察丝线栓塞支气管动脉在控制急性大咯血中的治疗效果。材料和方法 7例大咯血患者,经内科治疗无效。行经皮支气管动脉插管,以丝线微粒栓塞病变支气管动脉。结果 7例即时止血均成功。有2例于术后4周内复发,其中1例保守治疗,另1例再次栓塞,咯血量均减少。余5例随访半年以上无复发。结论支气管动脉栓塞是治疗急性大咯血的安全、有效的方法。
Objective To observe the therapeutic effect of silk thread embolized bronchial artery in the control of acute massive hemoptysis. Materials and Methods Seven patients with massive hemoptysis were ineffective with medical treatment. Percutaneous transbronchial arterial intubation to thread particles embolization diseased bronchial artery. Results 7 cases of immediate hemostasis were successful. There were 2 cases relapsed within 4 weeks after operation, of which 1 case was conservatively treated and the other 1 case was re-embolized and the amount of hemoptysis decreased. More than 5 cases were followed up for more than six months without recurrence. Conclusion Bronchial artery embolization is a safe and effective method for the treatment of acute massive hemoptysis.