支气管哮喘急性发作的护理.pdf.pdf

6O陕西医学杂志2008年1月第37卷第l期支气管动脉栓塞治疗大咯血35例西安交通大学医学院第一附属医院呼吸科(西安710061)朱柏杨岚陈天君摘要目的:探讨支气管动脉栓塞(BAE)治疗大咯血的临床疗效及并发症。方法:对35例大咯血患者经选择性支气管动脉造影后对病变动脉用明胶海绵或PVA颗粒进行栓塞止血,当支气管动脉有脊髓分支或与肋间动脉共干时,用微导管超选择性支气管动脉插管。结果:双侧支气管动脉栓塞ll例,左支气管动脉栓塞l0例,右支气管动脉栓塞l4例,伴肋间动脉2例,有5例次使用同轴导管超选择性支气管动脉病变支插管栓塞。35例患者治愈28例,显效4例,无效3例。,治愈率为8o,未出现严重并发症。结论:支气管动脉栓塞是咯血患者种安全有效的治疗方法。主题词咯血/-;6疗支气管动脉栓塞,治疗性BronchialarteryembolizationforthetreatmentofhemoptysisDepartmentofPulmonaryDisease,theFirstAffiliatedHospitalofMedicalCollegeofXi’anJiaotongUniversity(Xi’an710061)ZhuBoYangLanChenTianjunABSTRACTObjective:plicationsofbronchialarteryembolizationforthemanagementofhemoptysis(BAE)。Methods:Bronchialarteryembolization35performedon35patientswithhemoptysisafterthesiteofbleedingortheabnormalarterieswereidentifiedbyarteriography。Particlesofgelatinspongeandpolyvinylalcohol(PVA)wereusedseparatelyasembolicagents,superselectivebronchialartery,embolization(SS~BAE)wasperformedwithacoaxialmicrocatheterinsertedintothebronchialartery,montrunkwiththespinalarteryorintercostalartery。Results:Atotalof48arteries(monbronchial,10leftbronchial,14rightbronchial,2intercosta1)wereembolized,SS—,28werecured(ie,noactivebleedingwithin24hours,norecurrentbleedingduringlong—termfollow—up),4wererelieved,,long—termcumulativehemoptysisnonrecurrencerateswas80,(3/35),plicationswereobserved。Conclus