支气管动脉栓塞术后肺结核再咯血的综合治疗

中国防痨杂志 ›› 2006, Vol. 28 ›› Issue (5): 299-300.

支气管动脉栓塞术后肺结核再咯血的综合治疗

李有才¹；沈明艳²；赵泽刚¹；迟检³；

1北京结核病胸部肿瘤研究所北京 101149；2北京监管局中心医院北京 100053；3空军工程设计院北京设计室医院北京 100022；

出版日期:2006-05-10 发布日期:2006-11-03

Analysis of comprehensive treatment of pulmonary tuberculosis with massive hemoptysis after bronchial artery embolization(BAE)

Li Youcai¹ Shen Mingyan,Zhao Zegang,et al

1.Beijing Tuberculosis and Thoramic Tumor Hospital,Beijing 101149,China

Online:2006-05-10 Published:2006-11-03

摘要/Abstract

摘要： 目的探讨肺结核大咯血行支气管动脉栓塞术(BAE)后再次出现咯血的综合治疗方法。方法总结1997年8月至2006年2月间289例肺结核大咯血行BAE治疗失败后再次出现咯血的42例患者,根据咯血量的多少,采用不同的治疗措施,20例小量咯血应用云南白药和止血芳酸治疗,22例中至大量咯血患者联合应用蛇毒血凝素和人工冬眠治疗。结果20例小量咯血经云南白药和止血芳酸治疗后,有效止血率95.0%,22例中至大量咯血联合应用蛇毒血凝素和人工冬眠治疗,有效止血率为86.4%。结论肺结核大咯血行BAE后再次出现小量咯血可以采取常规治疗,中至大量咯血联合应用蛇毒血凝素和人工冬眠不失为有效的治疗手段。

关键词: 结核,肺, 咯血, 支气管动脉栓塞术, 综合治疗

Abstract: Objective To evaluate the effectiveness of comprehensive treatment of pulmonary tuberculosis with massive hemoptysis after BAE. Methods The patients’ outcome during 2nd hemoptysis after bronchial artery embolization (BAE) for pulmonary tuberculosis hemoptysis at outpatient clinic emergency were analyzed.Among 289 pulmonary tuberculosis massive hemoptysis patients,42 had 2nd hemoptysis after BAE from Aug.1997 to Feb.2006.20 cases of small hemoptysis were treated with Yunnan White Drug powder and tranexamic acid and 22 cases of massive hemotysis were treated with hemocoagulase and artificial hibernation combined. Results The haemostatic rate of patients treated with Yunnan White Drug powder and tranexamic acid was 95.0%,and hemocoagulase and artificial hibernation combination group was 86.4%. Conclusion Small hemoptysis during 2nd hemoptysis after bronchial artery embolization(BAE) for pulmonary tuberculosis may be treated regularly,but middle and massive hemoptysis can be more effectively treated with hemocoagulase and artificial hibernation combined.

Key words: Pulmonary tuberculosis, Hemoptysis, Bronchial artery embolization(BAE), Comprehensive Treatment

李有才,沈明艳,赵泽刚,迟检,. 支气管动脉栓塞术后肺结核再咯血的综合治疗[J]. 中国防痨杂志, 2006, 28(5): 299-300.

Li Youcai¹ Shen Mingyan,Zhao Zegang,et al. Analysis of comprehensive treatment of pulmonary tuberculosis with massive hemoptysis after bronchial artery embolization(BAE)[J]. Chinese Journal of Antituberculosis, 2006, 28(5): 299-300.

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