[1]刘凌卉,程 铃.外周血管介入治疗大咯血研究进展[J].陕西医学杂志,2024,(4):565-568.[doi:DOI:10.3969/j.issn.1000-7377.2024.04.029]
　LIU Linghui,CHENG Ling.Research progress of peripheral vascular intervention in treatment of massive hemoptysis[J].,2024,(4):565-568.[doi:DOI:10.3969/j.issn.1000-7377.2024.04.029]
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外周血管介入治疗大咯血研究进展
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2024年4期
页码:
565-568
栏目:
综 述
出版日期:
2024-04-05

文章信息/Info

Title:
Research progress of peripheral vascular intervention in treatment of massive hemoptysis
作者:
刘凌卉1; 程 铃2
(1.四川大学华西医院呼吸与危重症科,四川 成都 610044; 2.成都天使儿童医院儿童内科,四川 成都 610095)
Author(s):
LIU Linghui; CHENG Ling
(Department of Pulmonary and Critical Care Medicine,West China Hospital of Sichuan University,Chengdu 610044,China)
关键词:
大咯血;  外周血管;  支气管;  非支气管;  介入治疗;  动脉栓塞术
Keywords:
Massive hemoptysis;  Peripheral vascular;  Bronchus;  Non-bronchus;  Interventional therapy;  Arterial embolization
分类号:
R 562.2
DOI:
DOI:10.3969/j.issn.1000-7377.2024.04.029
文献标志码:
A
摘要:
咯血分为非大量咯血和大量咯血两种,它是指患者气管、支气管或肺组织出血后通过声带以下的下呼吸道咳出单独或混合有黏液的血液,如不经过有效治疗,大咯血病死率极高。外周血管介入治疗是目前治疗大咯血的主要方式之一,包括支气管动脉栓塞术和非支气管动脉体循环栓塞术两种,可以有效治疗大咯血,加速患者治疗后康复进程,控制不良反应情况的发生和病情发展,减少其他合并症的发生,降低患者复发风险。本文综述了外周血管介入在大咯血治疗中的应用效果,旨在为临床大咯血的治疗提供一定文献依据和参考。
Abstract:
There are two kinds of hemoptysis:non-massive hemoptysis and massive hemoptysis.It means that the patients cough up blood alone or mixed with mucus through the lower respiratory tract below the vocal cord after bleeding from the trachea,bronchus or lung tissues.Without effective treatment,mortality of massive hemoptysis is very high.Peripheral vascular intervention is currently one of the main treatment ways for massive hemoptysis,including bronchial artery embolization and non-bronchial arterial systemic embolization,and which can effectively treat massive hemoptysis,accelerate rehabilitation process after treatment,control the occurrence of adverse reactions and disease progression,reduce the other complications and recurrence risk,and promote the physical and mental health of patients.This article reviews the application effect of peripheral vascular intervention in the treatment of massive hemoptysis to provide some literature basis and reference for the clinical treatment of massive hemoptysis.

参考文献/References:

[1] 严海涛,施海彬,张金星,等.非肿瘤性咯血二次支气管动脉栓塞治疗效果及预后因素分析[J].介入放射学杂志,2022,31(5):446-450.
[2] 刘向前,韩向前,孙晓霞,等.支气管扩张合并大咯血患者铜绿假单胞菌感染与影像学分析[J].中华医院感染学杂志,2019,29(11):1665-1668.
[3] 周婕,冯斐,王勃,等.非结核分枝杆菌肺病高分辨CT影像学表现[J].陕西医学杂志,2022,51(1):67-69.
[4] 高娴,李洪智,杨洁.滋阴润肺抗痨方中药雾化治疗对耐多药肺结核病理状态改善效应及对患者细胞免疫功能的影响[J].陕西中医,2020,41(2):187-190.
[5] 吴常明,邱跃灵,殷建团.非支气管动脉参与咯血的临床特点及诊治进展[J].临床肺科杂志,2016,21(10):1890-1893.
[6] 尹曲华,周毅,邓海兵,等.起源于胃左动脉的异位支气管动脉参与咯血的介入栓塞治疗一例[J].中国防痨杂志,2022,44(6):638-640.
[7] 刘春锋,刘赛,李俊红.聚乙烯醇联合弹簧圈支气管动脉栓塞治疗大咯血的疗效分析[J].中国医刊,2020,55(9):996-998.
[8] 谢磊,吕铁伟.儿童血管相关性咯血影响咯血量及术后复发高危因素分析[J].临床儿科杂志,2023,41(1):42-47.
[9] LI H,DING X,ZHAI S,et al.A retrospective study on the management of massive hemoptysis by bronchial artery embolization:Risk factors associated with recurrence of hemoptysis[J].BMC Pulmonary Medicine,2023,23(1):1-9.
[10] DAVIDSON K,SHOJAEE S.Managing massive hemoptysis[J].Chest,2020,157(1):77-88.
[11] DOHNA M,KÜHL H,SUTHARSAN S,et al.Bronchial artery diameter in massive hemoptysis in cystic fibrosis[J].BMC Pulmonary Medicine,2022,22(1):1-7.
[12] JIN F G,LI Q,BAI C,et al.Chinese expert recommendation for diagnosis and treatment of massive hemoptysis[J].Respiration,2020,99(1):83-92.
[13] O'GUREK D,CHOI H Y J.Hemoptysis:Evaluation and management[J].American Family Physician,2022,105(2):144-151.
[14] HE D,HUANG D,HUANG K,et al.The efficacy of bronchoscopy versus computerised tomography in initial identification of patients with hemoptysis[J].Journal of the College of Physicians and Surgeons-Pakistan:JCPSP,2021,31(12):1459-1467.
[15] DAVIDSON K,SHOJAEE S.Managing massive hemoptysis[J].Chest,2020,157(1):77-88.
[16] 葛韬,徐欣楠,张鹏,等.支气管动脉栓塞术联合肺切除术治疗支气管扩张大咯血临床分析[J].同济大学学报(医学版),2020,41(4):449-453.
[17] 杜松,张辉,陈尚雄,等.介入治疗在外周血管出血中的临床应用[J].介入放射学杂志,2022,31(1):99-103.
[18] DEMPSEY J M,JONES M,BRONNER J,et al.Inhaled tranexamic acid for massive hemoptysis in the setting of oral anticoagulation:A case report[J].Clinical Practice and Cases in Emergency Medicine,2020,4(4):572.
[19] ATCHINSON P R A,HATTON C J,ROGINSKI M A,et al.The emergency department evaluation and management of massive hemoptysis[J].The American Journal of Emergency Medicine,2021,50:148-155.
[20] Zeng J,Wu X,Zhang M,et al.Modified silicone stent for difficult-to-treat massive hemoptysis:A pilot study of 14 cases[J].Journal of Thoracic Disease,2020,12(3):956.
[21] KE W,ZENG R.Hemoptysis[J].Handbook of Clinical Diagnostics,2020:31-32.
[22] SEYYEDI S R,SADEGHIPOUR P,SADR M,et al.Outcomes and complications of bronchial angioembolization in patients with massive hemoptysis[J].Tanaffos,2019,18(4):310.
[23] Wrisinger W C,Thompson S L.Basics of extracorporeal membrane oxygenation[J].Surgical Clinics,2022,102(1):23-35.
[24] Kwiecien S Y,McHugh M P.The cold truth:The role of cryotherapy in the treatment of injury and recovery from exercise[J].European Journal of Applied Physiology,2021,121(8):2125-2142.
[25] 和宇峥,张合林,李帅,等.胸腔镜支气管动脉结扎治疗大咯血效果分析[J].河北医药,2019,41(13):1966-1969,1973.
[26] NISHIHARA T,OKAMOTO Y,ISHIKAWA H,et al.Successful bronchial artery embolization using hydrogel coils for hemoptysis during extracorporeal membrane oxygenation[J].Radiology Case Reports,2022,17(10):3686-3689.
[27] SHAMS S,FIROUZI A,ZANGANEHFAR M E,et al.Successful percutaneous intervention in a rare case of aberrant systemic artery to a normal lung presented with hemoptysis[J].Journal of Cardiology Cases,2021,24(3):122-125.
[28] SADIDI H,TAQANAKI P B,AMIRFAKHRIAN H,et al.Tracheal hemangioma:A case report and literature review[J].Annals of Medicine and Surgery,2023,85(7):3615-3622.
[29] MARTIN L N,HIGGINS L,MOHABIR P,et al.Bronchial artery embolization for hemoptysis in cystic fibrosis patients:A 17-year review[J].Journal of Vascular and Interventional Radiology,2020,31(2):331-335.
[30] MORIMURA F,HAMAMOTO K,EDO H,et al.Treatment of massive hemoptysis after thoracic aortic aneurysm repair[J].CVIR Endovascular,2022,5(1):17.
[31] Moroni C,Bindi A,Cavigli E,et al.CT findings of non-neoplastic central airways diseases[J].Japanese Journal of Radiology,2022,40(2):107-119.
[32] 陈峰,刘海英,慈敏俊,等.经导管支气管动脉栓塞术治疗肺部基础病变合并新型冠状病毒肺炎诱发咯血[J].中国介入影像与治疗学,2023,20(10):587-590.

备注/Memo

备注/Memo:
基金项目:国家重点研发计划课题(2017YFC1308504)
更新日期/Last Update: 2024-04-07