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目的探讨支气管动脉栓塞治疗大咯血的临床疗效。方法回顾性分析48例接受支气管动脉栓塞治疗的大咯血患者的临床资料,对其治疗效果及并发症进行分析。结果 48例患者行支气管动脉栓塞后6~24 h均停止咯血,1例患者术后36 h后出现再次咯血,急诊行外科手术治疗。2例患者术后3个月后再次咯血,其中1例再次行支气管动脉栓塞治疗后好转,1例(肺癌)患者复发后放弃治疗。术后6例出现低热,4例出现胸痛,予以对症治疗后好转,无严重并发症发生。结论支气管动脉栓塞是治疗大咯血安全有效方法的,值得临床推广。
Objective To investigate the clinical effect of bronchial artery embolization in treating hemoptysis. Methods The clinical data of 48 patients with massive hemoptysis undergoing bronchial artery embolization were retrospectively analyzed, and their therapeutic effects and complications were analyzed. Results In 48 patients, hemoptysis was stopped 6 to 24 hours after bronchial artery embolization. One patient had hemoptysis again 36 hours after operation, and emergency operation was performed surgically. Two patients had hemoptysis again 3 months after operation, of which 1 was re-treated with bronchial artery embolization, and 1 patient with lung cancer relapsed after giving up treatment. Postoperative fever occurred in 6 cases, 4 cases of chest pain, symptomatic treatment after improvement, no serious complications. Conclusions Bronchial artery embolization is a safe and effective method for the treatment of massive hemoptysis and is worthy of clinical promotion.