【摘要】 目的 探讨致命性大咯血经导管栓塞治疗的方法和疗效。方法 对28例大咯血行介入治疗患者做回顾性分析。血管栓塞采用以明胶海绵颗粒血管逐级栓塞为主(部分加用弹簧圈栓塞)的方法。结果 栓塞技术成功率和即时止血率均达100%。近期复发1例，远期复发率14.3%(4/28)，均经再次介入栓塞后止血。全组病例均未见严重并发症。结论 以明胶海绵颗粒血管床逐级栓塞为主的方法是治疗大咯血和咯血复发安全、有效、经济的治疗方法。

    Chen Guodong，Chen Shengli，Huang Zicheng，et al.

    The First People’s Hospital of Guangzhou，Guangdong510180.

    【Abstract】 Objective To assess the efficacy and method of transcatheter embolization for life-threatening hemoptysis.Methods 28patients who underwent transcatheter embolization for life-threatening hemoptysis were eˉvaluated retrospectively.All abnormal vessels found were embolized by using gelfoam grains alone or in combination with coils.Results The embolization technique was successful in100%of the cases and immediate arrest of hemopˉtysis was obtained in all patients.One patient had recurrent hemoptysis in5days after embolization，and long-term recurrence rate of hemoptysis was14.3%(4/28) ......