摘要
目的:探讨致命性大咯血的有效治疗方法。方法:回顾性分析32例致命性大咯血患者的病历资料,其中26例患者未出现呼吸循环不稳直接接受BAE,其余6例患者合并呼吸循环不稳于气管插管联合下完成BAE止血。结果:支气管动脉栓塞后即刻止血成功率为100%。1例患者术后第三天再次出现咯血,但咯血程度较前明显下降,经内科治疗后缓解。术后随访半年中有4例患者再发咯血,3例患者经内科治疗缓解,1例患者再次接受BAE止血。所有患者未出现脊髓栓塞、截瘫等严重并发症。结论:支动脉栓塞治疗致命性大咯血是一种安全有效的治疗手段,应积极开展,对于合并有呼吸循环不稳,应联合多学科协助处理。
Objective To investigate the clinical efficacy of bronchial arterial embolization（ BAE） for fatal massive hemoptysis. Method 32 patients with fatal massive hemoptysis were treated with bronchial arterial embolization（ BAE）. Among them,26 patients did not appear to be directly accepted BAE,and the other 6 patients combined with respiratory and circulatory instability in the tracheal intubation combined to complete BAE hemostasis. Results All the patients stopped bleeding immediately after BAE,only one patient with hemoptysis again who were controlled with drug on the third after BAE. However,the degree of hemoptysis decreased significantly after internal medicine treatment. Six months after surgery,there were 4 cases of recurrence of hemoptysis,3 patients were treated by internal medicine treatment,1 patient received BAE to stop bleeding again. All patients had no serious complications such as spinal cord embolism and paraplegia. Conclusion BAE for fatal massive hemoptysis is a safe,rapid and effective method in the treatment of fatal massive hemoptysis.
出处
《吉林医学》
CAS
2017年第3期463-465,共3页
Jilin Medical Journal
关键词
致命性大咯血
机械通气
支气管动脉栓塞
Fatal massive hemoptysis
Mechanical ventilation
Bronchial arterial embolization
