首页|明胶海绵-血凝酶封堵剂在肺穿刺出血患者中的应用

明胶海绵-血凝酶封堵剂在肺穿刺出血患者中的应用

Application of gelatin sponge-hemocoagulase plugging agent in patients with pulmonary puncture bleeding

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目的 探讨明胶海绵-血凝酶封堵剂在肺穿刺出血患者中的应用.方法 收集 2021 年 9 月至 2023 年 5 月在济宁市第一人民医院接受明胶海绵-血凝酶封堵剂治疗的 43 例DSA导引肺穿刺活检并发出血患者临床资料,分析封堵止血治疗效果.结果 43 例患者肺穿刺活检均成功取得,针道均由明胶海绵-血凝酶封堵剂成功封堵.封堵治疗后 5 min,43 例中仅 1 例术前表现为中量咯血伴中度出血影患者转为痰中带血,肺内出血影较 5 min前稍扩大,其余患者均止血成功,咯血症状消失,肺内出血影与 5 min前相仿.所有患者均未出现封堵治疗相关并发症.结论 明胶海绵-血凝酶封堵剂可用于治疗肺穿刺活检出血,疗效显著且安全.
Objective To discuss the application of gelatin sponge-hemocoagulase plugging agent in patients with pulmonary puncture bleeding.Methods The clinical data of 43 patients with hemorrhage caused by DSA-guided lung puncture biopsy,who received gelatin sponge-hemocoagulase plugging agent treatment at the Jining Municipal First People's Hospital of China between September 2021 and May 2023,were collected,and the hemostatic effect of gelatin sponge-hemocoagulase plugging agent was analyzed.Results Successful lung puncture needle biopsy was achieved in all the 43 patients.The puncture needle channel occlusion was accomplished by using gelatin sponge-hemocoagulase plugging agent.Five minutes after occlusion treatment,in one patient,whose moderate hemoptysis with moderate bleeding shadow before puncture needle biopsy changed to bloody sputum,the intrapulmonary bleeding shadow displayed on image became slightly enlarged when compared the size five minutes ago,while in all the remaining patients successful hemostasis was achieved,the hemoptysis disappeared and the pulmonary hemorrhage shadow was similar to that five minutes ago.No occlusion-related complications occurred in all patients.Conclusion For the treatment of pulmonary hemorrhage caused by DSA-guided lung puncture biopsy,gelatin sponge-hemocoagulase plugging agent is clinically safe and effective.

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梁浩、张洁、来龙祥、岳衍晓、王前、刘显、曹景勤

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272000 山东济宁 济宁医学院

济宁市第一人民医院介入放射科

肺穿刺活检术 明胶海绵 蛇毒血凝酶 出血

2024

介入放射学杂志
上海市医学会

介入放射学杂志

CSTPCD北大核心
影响因子:1.866
ISSN:1008-794X
年,卷(期):2024.33(2)
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