引用本文:王 洋1,江 涛1,孙秋艳2,吴金星1,丁 丽1,古 丽1,刘 伟1,汪 露1.支气管动脉栓塞术治疗严重咯血的临床评价[J].重庆医科大学学报,2015,(4):631~633
支气管动脉栓塞术治疗严重咯血的临床评价
Clinical evaluation on bronchial artery embolization in the treatment of severe hemoptysis
DOI:
中文关键词:  咯血  支气管动脉  动脉栓塞术
英文关键词:hemoptysis  bronchial artery  artery emblization
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作者单位
王 洋1,江 涛1,孙秋艳2,吴金星1,丁 丽1,古 丽1,刘 伟1,汪 露1 1. 重庆医科大学附属第一医院呼吸内科重庆 4000162. 邯郸市第四医院急诊科河北 056200 
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中文摘要:
      目的:评价支气管动脉栓塞术治疗难治性咯血患者的临床疗效。方法:对44位患者使用聚乙烯醇(polyvinyl alcohol,PVA)、弹簧圈、Onyx胶中的1种或2种进行支气管动脉栓塞。结果:44例患者共进行支气管动脉栓塞术48次,最终咯血完全停止,有效率90.9%。4位患者于治疗后再次复发,复发率9.1%,药物止血治疗后咯血停止。栓塞后有6位患者出现胸腹痛,均自行缓解,未出现异位栓塞等严重并发症。结论:支气管动脉栓塞术是一种快速、安全、有效治疗难治性咯血的方法。
英文摘要:
      Objective:To evaluate the clinical effects of bronchial artery embolization(BAE) on refractory hemoptysis. Methods:Forty-four patients with hemoptysis were treated with BAE using one or more of polyvinyl alcohol(PAV),metallic colis and Onyx. Results:Totally 48 times of BAE were successfully performed on all pa-tients,who stopped hemoptysis with the overall effective rate of 90.9%. Hemoptysis recurred in 4 cases with the recurrent rate of 9.1%. After BAE,6 patients developed chest pain and 1 patient developed abdomen pain,but all relieved without any treatment. No case of ectopic embolization,spinal cord injury and other serious complication was observed. Conclusion:Bronchial artery embolization is a fast,safe and effective approach in the treatment of refractory hemoptysis.
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