【摘要】 目的 评价支气管动脉栓塞术在大咯血治疗中的作用。方法 35例大咯血患者，咯血量为300～1500ml，急诊行病灶供血支气管动脉栓塞术，栓塞材料为明胶海绵颗粒或PVA颗粒。结果 35例患者支气管动脉栓塞术均成功，即刻止血26例(74.3%)，出血明显减少9例(25.7%)，总有效率100%，无特殊并发症发生。结论 支气管动脉栓塞术是一种安全有效的大咯血治疗方法，可以作为临床上保守治疗无效后的首选治疗方法。

    【关键词】 大咯血；支气管动脉栓塞；介入治疗

    The interventional the rapy of severe hemoptysis

    SHEN Dong-feng，HU Yue-feng，XIE Chun-ming.

    Fenyang Hospital，Shanxi Province，Shanxi 032200，China.

    【Abstract】 Objective To evaluate the effective of the bronchus arterial embolization in patients with severe hemoptysis.Methods 35 patients with severe hemoptysis，the quantity of haemorrhage is 300～500ml，were treated with bronchus arterial embolization. The material of embolization is glutin sponge or PVA(polyvinyl alcohol).Results The operations of 35 patients were successful， in them， 26 patients were hemostasia immediately， the haemorrhage of 9 patients was evidently reduced. All patients have no complication.Conclusion The bronchus arterial embolization is a safe and efficient method to patient with severe hemoptysis ......