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探讨支气管动脉栓塞治疗大咯血的临床疗效。方法回顾分析35例患者的临床资料。结果本组35例患者经支气管动脉栓塞后,全部控制咯血。1例患者栓塞术中出现腹痛、恶心、呕吐,未处理,约10min症状消失。2例患者术后出现低热,经抗感染治疗5～10d后恢复正常。其余患者无严重并发症。6例术后咯血渐减轻,经内科药物治疗,逐渐止血。所有病例均未发生脊髓损伤及异位栓塞等比较严重的合并症。7例栓塞1个月后又出现小量的咯血,4例在半年后反复咯血。结论支气管动脉栓塞治疗咯血,止血效果显著,创伤小,操作简单,安全可靠的治疗措施。
To investigate the clinical effect of bronchial artery embolization in treating hemoptysis. Methods The clinical data of 35 patients were retrospectively analyzed. Results 35 patients in this group after bronchial artery embolization, the full control of hemoptysis. One patient had abdominal pain, nausea and vomiting during embolization, and no symptoms disappeared in about 10 minutes. Two patients showed low fever after operation and returned to normal after 5 to 10 days of anti-infection treatment. The remaining patients without serious complications. 6 cases of hemoptysis gradually reduced, after medical treatment, and gradually stop bleeding. No cases of spinal cord injury and ectopic embolization more serious complications. A small amount of hemoptysis occurred in 7 patients after embolization in 1 month, and hemoptysis was repeated in 4 patients after 6 months. Conclusions Bronchial artery embolization is effective in treating hemoptysis and has a good hemostatic effect, less trauma, simple operation, safe and reliable treatment.