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目的 探讨支气管动脉栓塞治疗大咯血的方法及疗效。方法 对 36例大咯血或长期反复咯血的病人用明胶海绵颗粒栓塞支气管动脉。 36例病人中 ,单侧 31例 ,双侧 5例。肺癌 1 7例 ,支气管扩张 8例 ,肺结核 1 1例。先行支气管动脉造影 ,确定出血血管后 ,用明胶海绵颗粒栓塞 ,直到支气管动脉闭塞为止。结果 即刻止血 31例 ,出血完全控制。 5例咯血明显减少 ,内科治疗后咯血完全停止。随访 3月～ 5年 ,再出血 2例。结论 支气管动脉栓塞是治疗大咯血的有效方法 ,效果确切 ,止血迅速
Objective To investigate the method and efficacy of bronchial artery embolization in treating massive hemoptysis. Methods Thirty - six patients with massive hemoptysis or long - term hemoptysis were treated with gelatin sponge particles for bronchial artery embolization. 36 patients, unilateral in 31 cases, bilateral in 5 cases. 17 cases of lung cancer, bronchiectasis in 8 cases, tuberculosis in 11 cases. First bronchial artery angiography, blood vessels identified after the embolization with gelatin sponge particles, until the bronchial artery occlusion so far. Results immediate hemostasis in 31 cases, complete control of bleeding. 5 cases of hemoptysis was significantly reduced, hemoptysis completely stopped after medical treatment. Follow-up of 3 months to 5 years, 2 cases of rebleeding. Conclusions Bronchial artery embolization is an effective method for the treatment of massive hemoptysis with definite effect and rapid hemostasis