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目的:分析西宁地区肺大咯血患者异位动脉造影栓塞的临床意义。方法:对18例肺咯血患者,先行患侧支气管动脉栓塞治疗后,再逐一仔细寻找同侧肋间动脉、胸阔内动脉、膈动脉造影,对有明显出血倾向的异位血管进行栓塞治疗。结果:18例患者肋间动脉出血阳性率6/18(33%),胸阔内动脉出血阳性率4/18(22%),膈下动脉出血阳性率1/18(56%),对相应动脉进行栓塞后,即刻止血者17例17/18(94.4%),逐渐止血者1例,总有效率100%。结论:对肺咯血患者行除支气管动脉外的异位动脉造影并栓塞有着重要的临床价值。
Objective: To analyze the clinical significance of ectopic arteriography embolism in patients with massive hemoptysis in Xining. Methods: Eighteen patients with pulmonary hemoptysis were treated with ipsilateral bronchial artery embolization, and then carefully searched ipsilateral intercostal artery, intramuscular artery and phrenic artery angiography, and embolized the ectopic vessels with obvious bleeding tendency. Results: The positive rates of intercostal bleeding were 6/18 (33%) in 18 patients, 4/18 (22%) in the intramuscular territory, and 1/18 (56%) in the subphrenic arteries. Artery embolization, immediate hemostasis 17 cases 17/18 (94.4%), gradually stop bleeding in 1 case, the total efficiency of 100%. Conclusion: In patients with pulmonary hemoptysis in addition to bronchial artery ectopic arteriography and embolization has important clinical value.