论文部分内容阅读
目的 了解支气管动脉内应用立止血治疗肺结核大咯血的效果。方法 34例浸润型肺结核和慢性纤维空洞型肺结核大咯血病人,咯血量≥300 ml/d者26例,≥600 ml/d者8例;靶血管内单纯使用立止血者13例,(立止血1～3KU/次);局部注射立止血+明胶海绵颗粒栓塞者21例(靶血管内应用立止血后,再用1～2 mm明胶海绵颗粒进行栓塞)。结果 局部应用立止血或加栓塞治疗大咯血的34例病人,治疗1次的32例、2次的1例、3次的1例。单纯立止血治疗13例,12例有效,有效率92.3％;双重治疗组21例,20例有效,有效率为95％。两组无显著性差异(P>0.05)。结论 靶血管内应用立止血或加栓塞治疗肺结核大咯血是一种安全有效的方法,无明显副作用。在无法行靶血管栓塞的情况下,局部注射立止血也是有效和可行的方法。
Objective To understand the effect of intra-bronchial arterial infusion on hemoptysis of pulmonary tuberculosis. Methods Thirty-four cases of infiltrative pulmonary tuberculosis and chronic fibrovascular pulmonary tuberculosis with hemoptysis, 26 cases of hemoptysis ≥ 300 ml / d, 8 cases ≥600 ml / d, 13 cases of target bleeding with mere stasis, 1 ~ 3KU / time); local injection of hemostatic blood + gelatin sponge particles embolism in 21 cases (target blood vessel standing stop bleeding, and then 1 ~ 2 mm gelatin sponge particles for embolism). Results Topical application of hemostatic or embolization for the treatment of massive hemoptysis in 34 patients, once in 32 cases, 1 in 2 cases and 1 in 3 cases. Thirteen cases were treated with hemostasis alone, 12 cases were effective and the effective rate was 92.3%. In the double treatment group, 21 cases were effective and the effective rate was 95%. There was no significant difference between the two groups (P> 0.05). Conclusion The target intravascular application of standing blood or embolization of tuberculosis hemoptysis is a safe and effective method, no obvious side effects. Local injection of stop bleeding is also an effective and feasible method in the unlikely event of target vascular embolism.