Zamani Adil
Department of Pulmonary Medicine, Meram Medical Faculty, Selcuk University, Akyokus Mevkii, Meram, Konya, Turkey.
Blood Coagul Fibrinolysis. 2011 Jul;22(5):440-2. doi: 10.1097/MBC.0b013e328346efb7.
In order to achieve an optimal diagnostic yield in patients with endoscopically visible tumors multiple biopsies are needed. However, some centrally located necrotic endobronchial tumors and other vascular-appearing tumors are prone to bleed significantly after the first biopsy, which poses a distressed and complicated management problem for a bronchoscopist. In the present case study, a new technique, using intratumoral injection of tranexamic acid to control significant bleeding during bronchoscopic biopsy, is described. Although this study is limited to two cases, it has been suggested that good control of biopsy-induced bleeding can be attained using this technique.
为了在内镜可见肿瘤患者中获得最佳诊断率，需要进行多次活检。然而，一些位于中央的坏死性支气管内肿瘤和其他外观似血管的肿瘤在首次活检后容易发生大量出血，这给支气管镜检查医师带来了棘手且复杂的管理问题。在本病例研究中，描述了一种新技术，即在肿瘤内注射氨甲环酸以控制支气管镜活检期间的大量出血。尽管本研究仅限于两例病例，但有人提出使用该技术可有效控制活检引起的出血。
