摘要
目的:探讨支气管动脉造影栓塞治疗老年大血的临床疗效。方法:对50例老年大咯血患者采用选择性支气管动脉造影栓塞进行治疗。采用Seldinger法经皮动脉插管,作选择性支气管动脉造影,证实出血动脉后,用明胶海绵行支气管动脉栓塞。结果:45例即时止血,5例在15h内出血停止。42例在拴塞后35天又出现小量的咯血,4例在6个月后反复咯血,4例在1年后又出现痰血或间歇性痰中带血丝。结论:选择性支气管动脉造影栓塞术为治疗老年大咯血有效、安全的微创手术。
Objective: To investigate the clinical effect of selected bronchial arteriography and embolization (SBAE) for old patients with heavy hemoptysis.Methods:There were 50 eases enrolled in this series, SBAE were done on them with Seldinger' s method, and gum sponge was used as embolus. Results: Hemoptysis stopped immediately in 45 eases and in the other 5 eases gradually stopped in 15 h. This symptom occurred again in small volume in 35 days in 42 cases, in 6month in 4 cases, and in 1 year later for 4 eases. Condusion:SBAE is an effective and save miniinvasive operation for hemaptysis in aged patients.
出处
《医学影像学杂志》
2008年第11期1256-1257,共2页
Journal of Medical Imaging
关键词
老年
支气管动脉
大咯血
栓塞
Old age
Bronchial artery
Heavy hemoptysis
Embolization