支气管动脉栓塞治疗咯血的临床观察
Clinical outcomes of bronchial artery embolization in treatment of hemoptysis
目的 探讨支气管动脉栓塞术治疗咯血的临床疗效及不良反应.方法 回顾性分析了145例咯血患者的临床资料,其中支气管扩张84例,肺结核35例,肺癌12例,肺部感染9例,原因不明咯血5例,采用不同的栓塞材料行支气管动脉栓塞治疗,评价栓塞的治疗效果.结果 145例咯血患者近期总有效率93.1% (135/145),复发率6.9% (10/145).术后15例出现发热,10例出现胸痛,经对症治疗后2~3d恢复正常.结论 支气管动脉栓塞是治疗大咯血及反复发生咯血的有效方法.据患者病因及血管情况,个体化选择栓塞材料,可以提高栓塞成功率,减少并发症.
更多Objective To investigate the clinical efficacy and adverse reactions of bronchial artery embolization in the treatment of hemoptysis.Methods The clinical data of 145 patients with hemoptysis were retrospectively analyzed,including 84 with bronchiectasis,35 with pulmonary tuberculosis,12 with lung cancer,9 with pulmonary infection,and 5 with unexplained hemoptysis.Bronchial artery embolization was performed with different embolization agents.The therapeutic efficacy of embolization was evaluated.Results The total effective rate in the 145 patients with hemoptysis was 93.1% (135/145),and the recurrence rate was 6.9% (10/145).There were 15 cases of fever and 10 of chest pain after the operation,and the patients were recovered in 2-3 d after symptomatic treatment.Conclusion Bronchial artery embolization is effective in the treatment of massive or recurrent hemoptysis.According to the etiology and vascular condition,individualized selection of embolization agents may improve the success rate of embolization and reduce complications.
More- 浏览:181
- 被引:8
- 下载:280
相似文献
- 中文期刊
- 外文期刊
- 学位论文
- 会议论文