崔志鹏,张金山,杨立,王茂强.支气管动脉栓塞治疗肺部出血性病变[J].中国医学影像技术,1995,11(1):10~12
支气管动脉栓塞治疗肺部出血性病变
Bronchial Artery Embolization in the Treatment of Hemoptysis
投稿时间:1994-02-21  
DOI:
中文关键词:  咯血  支气管动脉  栓塞  血管造影
英文关键词:Hemoptysis  Bronchial artery  Embolization  Angiography
基金项目:
作者单位
崔志鹏 中国人民解放军总医院放射科 
张金山 中国人民解放军总医院放射科 
杨立 中国人民解放军总医院放射科 
王茂强 中国人民解放军总医院放射科 
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中文摘要:
      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。
英文摘要:
      Thirty-five patients with hemoptysis were treated with 42 embolizations of bronchial artery or other feeding arteries.The pulmonary diseases included bronchiectasis(n=17),lung cancer(n =9),tuberculosis(n=4),idiopathic hemorrhage(n=4),and tetralogy of Fallot (n=1).The embolic materials used were gefoam particles; MMC-Dextran microspheres and steel coils.Hemoptysis was immediately controlled in 33 cases(91.4%),The recurrence rate after 2 weeks was 20.O%,the attacks occurred less frequent and less serious.The results of the study indicated that bronchial artery embolization is a valuable method of treating massive hemoptysis and the bronchial arteriography is particularly useful in localizingthe source of bleeding point.
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