Jardin M, Remy J
Department of Diagnostic Radiology, Hôpital A. Calmette, Lille, France.
Radiology. 1988 Aug;168(2):377-83. doi: 10.1148/radiology.168.2.3393655.
Twenty-three patients with massive and recurrent hemoptysis were examined with angiography. Particular attention was directed to the internal mammary arteries. Specific causes for the bleeding were tuberculosis (n = 9), aspergilloma (n = 8), bronchiectasis (n = 1), primary systemic amyloidosis (n = 1), congenital and acquired pulmonary venous obstruction (n = 2), chronic pulmonary embolism (n = 1), and bilateral congenital pulmonary artery stenosis (n = 1). Eleven of these 23 patients were treated with systemic arterial embolization, and immediate cessation of bleeding occurred in nine. The recognition of the numerous collateral vessels and anastomoses of the internal mammary arteries is essential for successful percutaneous embolization for hemoptysis. The authors outline these various pathways and collateral vessels.
对23例大量反复咯血患者进行了血管造影检查。特别关注了胸廓内动脉。出血的具体原因包括肺结核（n = 9）、曲菌球（n = 8）、支气管扩张（n = 1）、原发性系统性淀粉样变性（n = 1）、先天性和后天性肺静脉阻塞（n = 2）、慢性肺栓塞（n = 1）以及双侧先天性肺动脉狭窄（n = 1）。这23例患者中有11例接受了系统性动脉栓塞治疗，其中9例出血立即停止。认识胸廓内动脉众多的侧支血管和吻合支对于咯血经皮栓塞治疗的成功至关重要。作者概述了这些不同的途径和侧支血管。
