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目的观察支气管动脉栓塞治疗大咯血的临床疗效。方法选取我院自2006年1月至2009年12月收治的136例大咯血患者作为研究对象,均给予支气管动脉栓塞术治疗,观察治疗效果及预后。结果本组136例患者经支气管动脉栓塞术治疗后立即止血者121例,占88.97%,其余15例患者栓塞术后仍然有少量出血,经给予内科保守治疗3～8 d后止血。术后对本组136例患者进行为期6～24个月的随访观察,3例患者于术后6个月内复发,3例患者于术后2年内复发,2年内复发率为6.62%。结论支气管动脉栓塞治疗大咯血效果理想,具有安全、微创、高效等优点,值得推广应用。
Objective To observe the clinical effect of bronchial artery embolization in treating hemoptysis. Methods A total of 136 patients with massive hemoptysis admitted to our hospital from January 2006 to December 2009 were enrolled in this study. Bronchial artery embolization was performed. The therapeutic effect and prognosis were observed. Results 121 patients (88.97%) had hemostasis immediately after bronchial artery embolization in 136 patients. The remaining 15 patients still had a small amount of hemorrhage after embolization, and received hemostasis after conservative treatment for 3 to 8 days. All patients were followed up for 6-24 months. Three patients relapsed within 6 months after operation. Three patients relapsed within two years after operation. The recurrence rate was 6.62% in two years. Conclusion Bronchial artery embolization is effective in treating hemoptysis and has the advantages of safety, minimally invasive and effective, which is worthy of popularization and application.