空洞型肺结核所致严重咯血的肺动脉造影及栓塞治疗
Pulmonary angiography and embolization for severe hemoptysis due to cavitary pulmonary tuberculosis.
作者信息
Sanyika C, Corr P, Royston D, Blyth D F
机构信息
Department of Radiology, University of Natal, Faculty of Medicine, Private Bag 7, Congella 4013, Kwazulu Natal, South Africa.
出版信息
Cardiovasc Intervent Radiol. 1999 Nov-Dec;22(6):457-60. doi: 10.1007/s002709900432.
PURPOSE
To identify the role of pulmonary angiography in the diagnosis and treatment of severe hemoptysis due to cavitary pulmonary tuberculosis.
METHODS
Selective pulmonary angiography was performed on eight patients with severe hemoptysis uncontrolled by previous bronchial and systemic arterial embolization.
RESULTS
Three (38%) patients had Rasmussen aneurysms, which were successfully embolized with steel coils. Five patients demonstrated pulmonary arterial hypoperfusion in the diseased lung.
CONCLUSIONS
We recommend pulmonary angiography in cavitary tuberculous patients with severe hemoptysis who do not respond to systemic arterial embolization. Rasmussen aneurysms are effectively treated by steel coil occlusion.
目的
确定肺血管造影术在空洞型肺结核所致严重咯血的诊断和治疗中的作用。
方法
对8例经先前支气管及体动脉栓塞治疗后仍无法控制严重咯血的患者进行了选择性肺血管造影。
结果
3例（38%）患者存在拉斯姆森动脉瘤，这些动脉瘤通过钢圈成功栓塞。5例患者病变肺叶显示肺动脉灌注不足。
结论
对于经体动脉栓塞治疗无效的空洞型结核严重咯血患者，我们建议进行肺血管造影。钢圈封堵可有效治疗拉斯姆森动脉瘤。
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