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目的对支气管扩张所致大咯血治疗中应用选择性支气管动脉栓塞术的临床疗效进行观察。方法选取本院于2011年9月~2013年7月收治支气管扩张所致大咯血患者34例,所有患者均接受选择性支气管动脉栓塞术治疗,对治疗效果及并发症发生情况进行分析。结果 34例患者均一次栓塞成功,治疗总有效率为97.06%,有4例患者出现轻微不良反应,不良反应发生率为11.76%,经对症处理后不良反应均消失。结论选择性支气管动脉栓塞术在支气管扩张所致大咯血治疗中具有显著疗效,具有操作简便、止血迅速、安全性高、复发率低等优点,值得在临床中推广。
Objective To observe the curative effect of selective bronchial artery embolization in the treatment of massive hemoptysis caused by bronchiectasis. Methods Totally 34 patients with massive hemoptysis due to bronchiectasis were selected from September 2011 to July 2013 in our hospital. All patients underwent selective bronchial artery embolization. The therapeutic effect and complications were analyzed. Results All the 34 patients were successfully thromboembolized once. The total effective rate was 97.06%. There were 4 minor adverse reactions and 11.76% adverse reactions. The adverse reactions disappeared after symptomatic treatment. Conclusions Selective bronchial artery embolization has significant curative effect in the treatment of massive hemoptysis caused by bronchiectasis, which has the advantages of simple operation, rapid hemostasis, high safety and low recurrence rate. It is worth to be popularized clinically.