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目的分析并探讨支气管动脉检塞术治疗大咯血的临床疗效。方法 30例患者均按支气管动脉栓塞术常规操作进行手术治疗。结果 30例患者共栓塞血管32支,其中19例为右侧支气管动脉,8例为左侧支气管动脉,2例为双侧动脉。27例栓塞后立即止血,占90.0%,3例肺肿瘤患者经栓塞后仍有少量咯血,占10.0%,24h咯血量在100ml内,内科治疗一周后止血。结论支气管动脉栓塞术是一种治疗大咯血的安全的、有效的、微创的方法。
Objective To analyze and discuss the clinical efficacy of bronchial artery occlusion in treating hemoptysis. Methods Thirty patients underwent routine operation of bronchial artery embolization. Results Thirty patients had embolized 32 vessels, of which 19 were right bronchial artery, 8 were left bronchial artery and 2 were bilateral artery. Twenty-seven patients stopped bleeding immediately after embolization, accounting for 90.0%. Three patients with lung cancer had a small amount of hemoptysis after embolization, accounting for 10.0%. The amount of hemoptysis in 24h was within 100ml. One week after medical treatment, hemostasis was observed. Conclusion Bronchial artery embolization is a safe, effective and minimally invasive method for the treatment of massive hemoptysis.