泛影葡胺-云南白药胶浆选择性支气管灌注对支气管扩张症咯血的治疗及造影作用初探

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目的 探讨泛影葡胺-云南白药胶浆选择性支气管灌注对支气管扩张症咯血的治疗作用及其造影效果。方法 将30例经临床、胸片和纤维支气管镜诊断为支气管扩张症的慢性反复咯血患者,随机分为实验组和对照组各15例,分别作泛影葡胺一云南白药胶浆选择性支气管灌注治疗和造影,或仅作内科保守治疗,分别随访5年。结果 实验组15例造影全部成功;其止血效果及5年内复发情况均好于对照组(P<0.05)。结论 泛影葡胺-云南白药胶浆对支气管扩张症咯血有明显的止血作用和缓解复发作用,同时也是一种较理想的支气管造影剂,具有进一步研究发展的可行性。 Objective To investigate the therapeutic effect of pan-meglumine-Yunnan Baiyao glue selective bronchial infusion on hemoptysis of bronchiectasis and its imaging effects. Methods Thirty patients with chronic repeated hemoptysis who were diagnosed as bronchiectasis by clinical, chest radiograph and fiberoptic bronchoscopy were randomly divided into experimental group and control group with 15 cases each. They were treated with meglumine diatrizoate-Yunnanbaiyao glue-selective bronchus Perfusion therapy and contrast, or only for medical conservative treatment, were followed up for 5 years. Results All the 15 cases in the experimental group were successful. The hemostatic effect and relapse in 5 years were better than those in the control group (P <0.05). CONCLUSION Diabloxamine - Yunnanbaiyao glue has obvious hemostatic effect and relieve recurrence of hemoptysis of bronchiectasis, and is also an ideal bronchial contrast agent, which has the feasibility of further research and development.
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