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目的:证实支气管动脉栓塞对咯血患者的治疗效果。方法:9例大咯血及长期反复咯血患者,经支气管动脉造影后行明胶海绵栓塞,观察对咯血患者的止血效果及副反应。结果:9例患者平均止血时间为3d,随访3个月无1例复发。5例患者出现发热、胸腹痛等反应,3d内恢复。2例患者出现不同程度可恢复的脊髓损伤。结论:支气管动脉栓塞术对咯血有良好的疗效副作用较轻,是不能手术治疗的大咯血及反复咯血患者的最佳治疗选择。
Objective: To confirm the therapeutic effect of bronchial artery embolization on patients with hemoptysis. Methods: Nine patients with massive hemoptysis and long-term recurrence of hemoptysis were treated with gelatin sponge embolization after bronchial artery angiography. The hemostatic effects and side effects on hemoptysis patients were observed. Results: The mean hemostasis time of 9 patients was 3 days. No recurrence was found in 3 months follow-up. 5 patients had fever, chest pain and other reactions, 3d recovery. Two cases of patients with varying degrees of recoverable spinal cord injury. Conclusion: Bronchial artery embolization has good curative effect on hemoptysis with less side effects and is the best treatment option for patients with massive hemoptysis and repeated hemoptysis who can not be surgically treated.