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35例咯血患者接受选择性支气管动脉和其他供血动脉栓塞治疗42次。出血的病因包括:支气管扩张17例,肺癌9例,肺结核4例,特发性肺出血4例,法乐氏四联症1例。栓塞物质为明胶海绵、携药微球及纲丝圈。本组近期疗效91.4%,2周后复发咯血率20.2%,但发作次数和出血量明显减少。本研究表明:支气管动脉栓塞是肺部出血性病变有价值的治疗方法。支气管动脉造影是肺部出血性病灶定位诊断的有效方法。
Thirty-five patients with hemoptysis received selective bronchial artery and other arterial embolization for 42 times. Causes of bleeding include: bronchiectasis in 17 cases, lung cancer in 9 cases, pulmonary tuberculosis in 4 cases, idiopathic pulmonary hemorrhage in 4 cases, tetralogy of Fallot in 1 case. Embolization material for gelatin sponge, drug-bearing microspheres and wire ring. The group of 91.4% immediate effect, 2 weeks after the rate of recurrent hemoptysis 20.2%, but the number of seizures and bleeding decreased significantly. This study shows that bronchial artery embolization is a valuable treatment for pulmonary hemorrhagic lesions. Bronchial arteriography is an effective method for the diagnosis of pulmonary hemorrhagic lesions.