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支气管动脉栓塞术治疗扩缩血管药物联合止血无效大咯血的疗效分析

Efficacy analysis of bronchial artery embolization for massive hemoptysis with ineffective treatment of vasodilator and vasoconstrictor drugs combined with hemostasis
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摘要 目的分析对于扩缩血管药物联合止血无效的大咯血患者应用支气管动脉栓塞术治疗的临床疗效。方法91例扩缩血管药物联合止血无效的大咯血患者,均给予支气管动脉栓塞术治疗,观察治疗效果及再出血情况。结果91例患者治疗痊愈10例,显效35例,有效20例,无效26例。治疗总有效率为71.43%(65/91)。6例患者出现再出血情况,再出血发生率为6.59%。结论支气管动脉栓塞术治疗扩缩血管药物联合止血无效大咯血患者的效果肯定,具有良好的应用价值。 Objective To analyze the clinical efficacy of bronchial artery embolization for massive hemoptysis with ineffective treatment of vasodilator and vasoconstrictor drugs combined with hemostasis.Methods 91 patients with massive hemoptysis in whom the combination of vasodilator and vasoconstrictor drugs and hemostasis was ineffective,among which 26 patients were ineffective and were given bronchial artery embolization,and the therapeutic effect and rebleeding status were observed.Results Of the 91 patients,10 cases were cured,35 cases were significantly effective,20 cases were effective,and 26 cases were ineffective,with a total effective rate of 71.43%(65/91).Rebleeding occurred in 6 patients,with an incidence of 6.59%.Conclusion The application of bronchial artery embolization is effective in the treatment of massive hemoptysis with ineffective treatment of vasodilator and vasoconstrictor drugs combined with hemoptysis,and has high the value of application.
作者 孙文芹 邱海涛 SUN Wen-qin;QIU Hai-tao(Juxian County Traditional Chinese Medicine Hospital,Rizhao 276500,China)
出处 《中国实用医药》 2023年第11期62-64,共3页 China Practical Medicine
关键词 支气管动脉栓塞术 大咯血 扩缩血管药物 支气管扩张 Bronchial artery embolization Massive hemoptysis Vasodilator and vasoconstrictor drugs Bronchiectasis
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