[1]段峰,王茂强,刘凤永,等.大咯血介入治疗失败的原因分析及处理[J].介入放射学杂志,2010,(01):12-15.
　DUAN Feng,WANG Maoqiang,LIU Fengyong,et al.Failure of controlling massive hemoptysis with interventional treatment ：its causes and managements[J].journal interventional radiology,2010,(01):12-15.
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大咯血介入治疗失败的原因分析及处理()

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

卷:
期数:
2010年01期
页码:
12-15
栏目:
血管介入
出版日期:
2010-01-15

文章信息/Info

Title:
Failure of controlling massive hemoptysis with interventional treatment ：its causes and managements
作者:
段峰; 王茂强; 刘凤永; 王志军; 宋鹏
１００８５３北京中国人民解放军总医院介入放射科
Author(s):
DUAN Feng; WANG Mao－qiang; LIU Feng－yong; WANG Zhi－jun; SONG Peng．
General Hospital of PLA，Beijing１００８５３，China
关键词:
大咯血; 复发; 动脉性; 介入放射学
分类号:
R５６
文献标志码:
A
摘要:
目的分析大咯血介入治疗后复发出血的原因，为改进大咯血介入治疗技术提供参考。方法２０００年１０月－２００８年１０月期间对２２例大咯血介入治疗后复发出血患者行第２次介入治疗，术中行支气管动脉、病变侧支血管（胸廓内动脉、胸廓外动脉、甲状颈干、膈下动脉、肋间动脉等）造影，酌情选择栓塞剂（明胶海绵、PV颗粒、钢丝圈等）栓塞病变血管。结果２２例患者中，４例因栓塞支气管动脉再通参与病变供血，３例除栓塞支气管动脉外第２、３支支气管动脉参与病灶供血，其余１５例均找到其他侧支参与病灶供血。第２次介入治疗后（随访３个月～４年），２２例患者均未再发生出血。结论完全彻底的栓塞所有参与病灶供血的血管，积极处理原发疾病，可以有效地提高介入治疗大咯血的成功率。

参考文献/References:

［１］Andersen PE．Imaging and interventional radiological treatment of hemoptysis［J］．Acta Radiol，２００６，４７：７８０－７９２．
［２］王超，吕永兴，邹英华．超选择性支气管动脉栓塞治疗大咯血的临床评价［J］．介入放射学杂志，２００８，１７：７３７－７３９．
［３］Yoon W，Kim JK，Kim YH，et al．Bronchial and nonbronchial systemic artery embolization for life－threatening hemoptysis：a comprehensive review［J］．Radio Graphics，２００２，２２：１３９５－１４０９．
［４］Corr P．Management of severe hemoptysis from pulmonary aspergil－loma using endovascular embolization［J］．Cardiovasc Intervent Radiol，２００６，２９：８０７－８１０．
［５］van den Heuvel MM，Els Z，Koegelenberg CF，et al．Risk factors for recurrence of haemoptysis following bronchial artery embolisation for life－threatening haemoptysis［J］．Int J Tuberc Lung Dis，２００７，１１：９０９－９１４．
［６］赵广生，徐克，肖亮，等．支气管动脉－肺动脉瘘致大咯血的介入治疗［J］．介入放射学杂志，２００９，１８：１１－１３．
［７］刘凤永，段峰，王茂强，等．支气管动脉栓塞术治疗支气管扩张大咯血失败原因之一：膈下动脉参与供血［J］．介入放射学杂志，２００８，１７：８８－９１．
［８］In HS ，Bae JI，Park AW，et al．Bronchial artery arising from the left gastric artery in a patient with massive haemoptysis［J］．Br J Radiol，２００６，７９：１７１－１７３．
［９］Lee EW，Grant JD，Loh CT，et al．Bronchial and pulmonary arterial and venous interventions［J］．Semin Respir Crit Care Med，２００８，２９：３９５－４０４．
［１０］Wang GR，Ensor JE，Gupta S，et al．Bronchial artery emboliza－tion for the management of hemoptysis in oncology patients：utility and prognostic factors［J］．J Vasc Interv Radiol，２００９，２０：７２２－７２９．
［１１］Velly JF，Jougon J，Laurent FS，et al．Massive haemoptysis：management and treatment．What is the role of surgery﹖［J］Rev Mal Respir，２００５，２２：７７７－７８４．

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备注/Memo

备注/Memo:
收稿日期：２００９－０９－１７
更新日期/Last Update: 2010-01-15