Oshika H, Morishita M, Yoshikawa K, Sugiura Y, Iizima N
Department of Pulmonary Medicine, Daido Hospital, Nagoya, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Feb;31(2):257-60.
A 74-year-old male was admitted to our hospital because of hemoptysis. Bronchoscopic examination showed a polypoid lesion in the right middle lobe bronchus. Biopsy of the polypoid lesion caused a massive bleeding. A massive hemoptysis of about 1,200 ml occurred again on the 13th day after biopsy, angiographic embolization of the right bronchial artery was performed successfully. Dilatation, convolution and hypervascularization of the right bronchial artery were observed, and anastomosis with pulmonary artery was seen. The diagnosis of primary racemose hemangioma of the bronchial artery was made. There was no recurrence of hemoptysis 3 years after the embolization procedure. Bronchial artery embolization is an effective method of treatment of hemoptysis due to racemose hemangioma.
一名74岁男性因咯血入院。支气管镜检查显示右中叶支气管有一息肉样病变。对该息肉样病变进行活检时引起大量出血。活检后第13天再次发生约1200毫升的大量咯血，成功进行了右支气管动脉造影栓塞术。观察到右支气管动脉扩张、迂曲和血管增多，并可见与肺动脉的吻合。诊断为原发性支气管动脉蔓状血管瘤。栓塞术后3年咯血未复发。支气管动脉栓塞术是治疗蔓状血管瘤所致咯血的有效方法。
