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