| 李 巍 张士德 李 颖 王宏辉 徐春阳 徐 伟.急诊介入栓塞治疗支气管动脉 - 肺动脉瘘大咯血的效果[J].,2015,15(2):248-250 |
| 急诊介入栓塞治疗支气管动脉 - 肺动脉瘘大咯血的效果 |
| Effects of Emergency Transcatheter Arterial Embolisation on MassiveHemoptysis Bronchial by Artery and Pulmonary Fistula |
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| DOI： |
| 中文关键词: 支气管动脉 - 肺动脉瘘 咯血 血管造影 栓塞 |
| 英文关键词: Bronchial artery-pulmonary artery fistula Hemoptysis Angiography Embolism |
| 基金项目:卫生部医药卫生科技发展研究项目（ W2009BX094） |
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| 中文摘要: |
| 目的： 观察急诊介入栓塞治疗支气管动脉 - 肺动脉瘘大咯血患者的疗效， 分析栓塞剂的选择及合理应用 ，为临床研究提供参
考。 方法： 30 例 支气管动脉 - 肺动脉瘘大咯血患者采用 急诊介入造影检查， 使用 丙烯酸微球和明 胶海绵条对出血动脉行急诊栓塞
治疗，对动脉造影表现及治疗结果进行回顾性分析。 结果： 共找到 并成功栓塞 42 支出血的支气管动脉， 28 支采用 单独丙烯酸微球
栓塞治疗， 14 支行丙烯酸微球与 明胶海绵条联合栓塞治疗。 栓塞术后随访 1 年，所有患者栓塞术后均无再次咯血及严重并发症出
现。 结论： 急诊动脉栓塞治疗支气管动脉 - 肺动脉瘘大咯血是一种安全、有效的微创治疗手段。 合理的选择和使用 栓塞剂 是确保栓
塞治疗成功的的关键。 |
| 英文摘要: |
| Objective:To observe the clinical effects of emergency transcatheter arterial embolisation (ETAE) on the treatment of
massive hemoptysis by artery bronchial and pulmonary artery fistula and to analyze the reasonable choice and use of embolic agents so as
to provide a reference for clinical treatment.Methods:30 cases of massive hemoptysis by bronchial artery and pulmonary artery fistula
who underwent the emergency arteriography were selected and the bleeding bronchial arteries were embolized with gelfoam strips and
tricacryl gelatin microphere (TAGM). Then the ateriography manifestions and therapeutic outcomes were analyzed retrospectively.Results:42 bleeding bronchial arteries were found and then were embolized successfully. 28 were embolized with TAGM and 14
bleeding bronchial arteries were embolized with gelfoam strips and TAGM. In the follow-up, there was no incidence of complications.Conclusion:ETAE is a safe and effective tminimally invasive therapeutic option for the massive hemoptysis by bronchial artery and
pulmonary artery fistula, and the reasonable choice to use the embolic agents should be the key factors of ensuring the treatment effects. |
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