[1]曾晓华,邱怀明,易翠容,等.非肿瘤性肺咯血栓塞治疗后咯血复发: 原因与对策[J].介入放射学杂志,2011,(01):18-21.
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非肿瘤性肺咯血栓塞治疗后咯血复发: 原因与对策()

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

卷:
期数:
2011年01期
页码:
18-21
栏目:
血管介入
出版日期:
2011-01-15

文章信息/Info

Title:
Non-tumorous recurrent hemoptysis after transcatheter embolization of bronchial artery: its causes and strategy
作者:
曾晓华   邱怀明   易翠容   袁   远
430070  武汉 广州军区武汉总医院放射科
Author(s):
ZENG Xiao-hua QIU Huai-ming YI Cui-rong YUAN-yuan.
Department of Radiology, Wuhan General Hospital of Guangzhou Military Area Command, Wuhan 430070, China
关键词:
咯血 造影 栓塞
分类号:
R815.2
文献标志码:
摘要:
目的 分析非肿瘤大咯血患者行支气管动脉栓塞治疗后复发咯血的原因,并探讨其预防措施。方法 随访观察152例非肿瘤性咯血患者,其中62例行栓塞治疗后1年内再次咯血,再行支气管动脉造影并行栓塞治疗,复习其首次造影经过,并分析栓塞颗粒选择与咯血复发的关系。结果 栓塞治疗后1周内咯血复发12例,1周 ~ 1个月内咯血复发9例,1 ~ 6个月内咯血复发15例,1年内咯血共复发62例。再次造影并与首次咯血时造影片比较显示,原栓塞支气管动脉再通致咯血复发25例(均为采用单纯明胶海绵颗粒栓塞);病变由多支支气管动脉供血,但首次血管内介入治疗时遗漏供血支气管动脉支致咯血复发16例;首次血管内介入治疗时遗漏肺外体循环供血动脉支致咯血复发9例;病变内新的侧支供血动脉支建立并开通致咯血复发12例(明胶海绵颗粒并微弹簧圈栓塞)。结论 全面观察了解并彻底栓塞咯血供血动脉支,以不可吸收性栓塞微粒完全填闭病变血管床可避免咯血复发。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:20100712
更新日期/Last Update: 2011-01-15