[1]李 静,高明明,吴长华,等.儿童咯血介入栓塞治疗后复发8例[J].介入放射学杂志,2020,29(10):1021-1024.
 LI Jing,GAO Mingming,WU Changhua,et al.Recurrence of hemoptysis after interventional embolization in 8 sick children[J].journal interventional radiology,2020,29(10):1021-1024.
点击复制

儿童咯血介入栓塞治疗后复发8例()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年10
页码:
1021-1024
栏目:
临床研究
出版日期:
2020-10-25

文章信息/Info

Title:
Recurrence of hemoptysis after interventional embolization in 8 sick children
作者:
李 静 高明明 吴长华 王 亮 宋 丹 郭 磊
Author(s):
LI Jing GAO Mingming WU Changhua WANG Liang SONG Dan GUO Lei.
Department of Vascular Anomalies and Interventional Radiology, Qilu Children’s Hospital of Shandong University, Jinan, Shandong Province 250022, China
关键词:
【关键词】 咯血 支气管动脉 支气管动脉栓塞 儿童
文献标志码:
A
摘要:
【摘要】 目的 分析儿童咯血经导管支气管动脉栓塞术(BAE)后复发的原因,为预防复发提供支持。方法 回顾性分析2014年6月至2018年6月46例咯血患儿经BAE治疗后复发的8例临床资料,通过支气管动脉再次造影综合分析复发原因。结果 BAE术后8例咯血复发患儿再次造影发现,复发咯血由原责任血管再通所致2例,异常供血支气管动脉遗漏栓塞所致2例,病灶新生侧支循环供血动脉建立所致3例,血管变异超选失败所致1例。二次BAE治疗后随访6个月至3年。7例患儿未再出现咯血症状,1例再次出现咯血,给予外科右肺下叶切除后治愈。结论 BAE可有效治疗咯血,完全栓塞是关键。但术中造影应仔细,避免遗漏,再通和新发动脉也值得注意,是咯血复发原因之一。

参考文献/References:

[1] Najarian KE, Morris CS. Arterial embolization in the chest[J]. J Thorac Imaging, 1998, 13: 93- 104.
[2] Marshall TJ, Jackson JE. Vascular intervention in the thorax: bronchial artery embolization for haemoptysis[J]. Eur Radiol, 1997, 7: 1221- 1227.
[3] 郦琳琳,梁 慧,王 全,等. 纤维支气管镜在儿童咯血病因诊断和治疗中的价值[J]. 临床儿科杂志, 2014, 32:238- 241.
[4] 中华医学会. 临床诊疗指南- 呼吸病学分册[M]. 北京:人民卫生出版社, 2009:167
[5] Naum R, Speed B. Hemoptysis in pediatric patients[J]. Cureus, 2019, 11: e4305.
[6] Davoodi M, Kordi M, Gharibvand MM, et al. Hemoptysis: comparison of diagnostic accuracy of multi detector CT scan and bronchoscopy[J]. Glob J Health Sci, 2015, 7: 373- 377.
[7] 陈和斌,陆小霞,蒋 鲲. 儿童反复咯血的病因及临床诊治分析[J]. 中国当代儿科杂志, 2014, 16:281- 284.
[8] Anwar D, Schaad N, Mazzocato C. Aerosolized vasopressin is a safe and effective treatment for mild to moderate recurrent hemoptysis in palliative care patients[J]. J Pain Symptom Manage, 2005, 29: 427- 429.
[9] 吴春雪,陈 强. 儿童咯血治疗进展[J]. 中国实用儿科杂志,2015, 30:461- 465.
[10] 丁 健,陈 亮,王永利,等. 支气管动脉造影导管在咯血治疗中的应用[J]. 介入放射学杂志, 2017, 26:736- 739.
[11] Chalumeau- Lemoine L, Khalil A, Prigent H, et al. Impact of multidetector CT- angiography on the emergency management of severe hemoptysis[J]. Eur J Radiol, 2013, 82: e742- e747.
[12] Mishra A, Mathur A, Pathak K, et al. Bronchial artery embolization in treatment of hemoptysis: treatment efficacy and complications at a tertiary care chest centre[J]. Med J Armed Forces India, 2018, 74: 352- 357.
[13] Li PJ, Yu H, Wang Y, et al. Multidetector computed tomography angiography prior to bronchial artery embolization helps detect culprit ectopic bronchial arteries and non- bronchial systemic arteries originating from subclavian and internal mammary arteries and improve hemoptysis- free early survival rate in patients with hemoptysis[J]. Eur Radiol, 2019, 29: 1950- 1958.
[14] Jiang S, Sun XW, Yu D, et al. Endovascular embolization of bronchial artery originating from the upper portion of aortic arch in patients with massive hemoptysis[J]. Cardiovasc Intervent Radiol, 2014, 37: 94- 100.
[15] Chun JY, Morgan R, Belli AM. Radiological management of hemoptysis: a comprehensive review of diagnostic imaging and bronchial arterial embolization[J]. Cardiovasc Intervent Radiol, 2010, 33: 240- 250.
[16] Kuang HY, Li Q, Xiang P, et al. Potential factors affected safety and efficacy of transcatheter plug closure for pediatric hemoptysis with anomalous bronchial arteries[J]. J Interv Cardiol, 2019,2019: 5408618.
[17] Kervancioglu S, Bayram N, Gelebek Yilmaz F, et al. Radiological findings and outcomes of bronchial artery embolization in cryptogenic hemoptysis[J]. J Korean Med Sci, 2015, 30: 591- 597.
[18] 吕铁伟,况虹宇,易岂建,等. 儿童血管相关性咯血的规范诊断与治疗[J]. 中华实用儿科临床杂志, 2018, 33:979- 982.

相似文献/References:

[1]蔡东顺,强万本.选择性动脉灌注治疗肺癌脑转移9例[J].介入放射学杂志,1997,(04):223.
[2]曾巨浪,李彦豪,夏四元,等.肺癌支气管动脉血供类型及对介入方法和疗效的影响[J].介入放射学杂志,1998,(02):81.
[3]杨熙章,吴纪瑞,杨永岩,等.支气管动脉间歇性重复栓塞术治疗大咯血[J].介入放射学杂志,1999,(02):24.
[4].第18届国际放射学大会论文摘要选编[J].介入放射学杂志,1994,(01):39.
[5]张希全,周宗文,张锐,等.支气管动脉起源异常及肺癌多支供血在灌注治疗中的重要性[J].介入放射学杂志,1994,(01):24.
[6]吴雄,葛荣.支气管动脉重复栓塞治疗反复咯血[J].介入放射学杂志,1994,(03):141.
[7]周沛林,杨凤生,李向前,等.恶性胸水的介入放射治疗6例[J].介入放射学杂志,1994,(03):162.
[8]鄂有国,朱容根,浦正杰,等.动脉插管化疗在晚期食管癌治疗中的应用[J].介入放射学杂志,1994,(04):226.
[9]陈葆(山仑),崔新建,褚维杰,等.肺癌介入治疗42例分析[J].介入放射学杂志,1995,(02):104.
[10]吉效东,张学新,曹金凤,等.中晚期食管癌的动脉灌注化疗及其风险浅评[J].介入放射学杂志,1996,(02):101.
[11]池嘉昌,许建荣,沈加林,等. 选择性支气管动脉栓塞术控制匿源性咯血[J].介入放射学杂志,2012,(01):27.
 CHI Jia-chang,XU Jian-rong,SHEN Jia-lin,et al.Selective bronchial artery embolization for the treatment of cryptogenic hemoptysis[J].journal interventional radiology,2012,(10):27.
[12]丁 健,王永利,王征宇,等. “三明治”式支气管动脉栓塞术治疗咯血的临床疗效分析[J].介入放射学杂志,2014,(03):245.
 DING Jian,WANG Yong? li,WANG Zheng? yu,et al. Bronchial artery embolization in ‘sandwich’ pattern for the management of hemoptysis: analysis of clinical effectiveness[J].journal interventional radiology,2014,(10):245.

备注/Memo

备注/Memo:
(收稿日期:2019- 08- 05)
(本文编辑:边 佶)
更新日期/Last Update: 2020-10-19