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目的观察支气管动脉栓塞治疗大咯血的疗效。方法回顾分析35例患者的临床资料。结果本组35例患者经支气管动脉栓塞后均达到满意的效果。均未发生脊髓损伤及异位栓塞等比较严重的合并症。3例栓塞1周后又出现小量的咯血;随访6个月～3年未见复发。结论支气管动脉栓塞技术具有创伤小,操作简单,疗效可靠等优点,可作为首选治疗手段。但鉴于肺咯血支气管动脉栓塞术(BAE)后复发率较高,作为一项姑息性的治疗措施,必须与病因治疗相配合,才能取得良好的止血效果,防止大咯血的再发生。
Objective To observe the effect of bronchial artery embolization in treating massive hemoptysis. Methods The clinical data of 35 patients were retrospectively analyzed. Results 35 patients in this group after bronchial artery embolization have reached satisfactory results. No spinal cord injury and ectopic embolization more serious complications. A small amount of hemoptysis appeared again in 3 cases of embolization one week later. No recurrence was observed after 6 months to 3 years follow-up. Conclusion Bronchial artery embolization has the advantages of small trauma, simple operation and reliable curative effect, which can be used as the first choice of treatment. However, given the high recurrence rate after pulmonary hemoptysis and bronchial artery embolization (BAE), as a palliative treatment, it is necessary to cooperate with the etiological treatment to obtain a good hemostatic effect and prevent the recurrence of massive hemoptysis.