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目的：观察明胶海绵加丝线微粒栓塞支气管动脉治疗大咯血中的疗效。方法：２２例急性大咯血患者，男１４例，女８例，支气管扩张症１２例，肺结核６例，肺癌并出血４例，均用海绵加丝线微粒栓塞。结果：２２例患者术后咯血量明显减少，３天后咯血完全停止，１例１周后复发经第二次栓塞止血。所有病例组随访四个月以上均无复发。结论：支气管动脉栓塞控制急性大咯血为有效、安全的微创手术。
Objective: To observe the curative effect of gelatin sponge plus thread particle embolization bronchial artery in the treatment of massive hemoptysis. Methods: Twenty-two patients with acute hemoptysis included 14 males and 8 females, 12 bronchiectasis cases, 6 pulmonary tuberculosis cases, and 4 lung cancer patients with hemorrhage. All of them were treated with sponge and thread particle embolization. Results: In the 22 patients, the amount of hemoptysis decreased significantly, the hemoptysis stopped completely after 3 days, and the recurrence in 1 patient was stopped by the second embolization. All cases were followed up for more than four months without recurrence. Conclusion: Bronchial artery embolization is an effective and safe minimally invasive surgery for the control of acute massive hemoptysis.