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目的:探讨支气管动脉栓塞术治疗大咯血的观察及护理。方法:对32例大咯血患者采用吸收性明胶海绵颗粒、弹簧钢圈行支气管动脉栓塞术,实施有效的护理措施。结果:支气管动脉栓塞术后,31例患者咯血完全停止;1例术后3小时再发少量咯血,予内科保守治疗3天后咯血停止;1例在术后1年再发,未出现脊髓损伤等严重并发症。结论:支气管动脉栓塞术是治疗大咯血的有效方法,术前实施有效的健康教育和心理护理,术中积极配合,术后做好并发症的观察及护理是支气管动脉栓塞术成功的重要保证。
Objective: To investigate the bronchial artery embolization in the treatment of massive hemoptysis and nursing. Methods: 32 cases of hemoptysis patients with absorbent gelatin sponge particles, spring steel ring bronchial artery embolization, the implementation of effective care measures. Results: After the bronchial artery embolization, 31 cases of patients with hemoptysis completely stopped; 1 case 3 hours after the recurrence of a small amount of hemoptysis, conservative treatment for 3 days after hemoptysis stopped; 1 case of recurrence after 1 year without spinal cord injury Serious complications. Conclusions: Bronchial artery embolization is an effective method to treat massive hemoptysis. Preoperative effective health education and psychological nursing should be carried out. The active cooperation in the operation and observation and nursing of postoperative complications is an important guarantee for the success of bronchial artery embolization.