论文部分内容阅读
目的:评价选择性动脉栓塞术治疗高原地区大咯血的临床疗效及应用价值。方法:高原地区34例大咯血患者经选择性动脉造影后,对病变出血动脉用3F微导管超选择性插管至出血动脉远端,用明胶海绵或PVA颗粒进行栓塞止血,对止血效果记录并随访,对资料进行分析。结果:34例患者超选择性插管成功率100%,34例患者治愈11例,有效17例,显效4例,无效2例,总有效率94.12%。结论:超选择性动脉栓塞术作为治疗高原地区大咯血的急救手段之一,具有微创、高效、可复性强、并发症少、简便易行等特点,可作为其首选治疗方案。
Objective: To evaluate the clinical curative effect and application value of selective arterial embolization in treating hemoptysis in the plateau area. Methods: Thirty-four patients with massive hemoptysis in high altitude area underwent selective arterial angiography. The bleeding artery was cannulated with 3F microcatheter to the distal end of the hemorrhage artery. The hemostatic effect was recorded and compared with gelatin sponge or PVA granules. Follow-up, analysis of the data. Results: The success rate of super selective catheterization in 34 cases was 100%. In 34 cases, 11 cases were cured, 17 cases were effective, 4 cases were markedly effective and 2 cases were ineffective. The total effective rate was 94.12%. Conclusion: Superselective arterial embolization is one of the first aid methods for the treatment of hemoptysis in the high altitude area. It has the characteristics of minimally invasive, high efficiency, strong refolding, few complications, simple and easy to be used as the first choice of treatment.