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藉由不同栓塞物質階段性治療肺出血之病例分享

Stage Treatment of Pulmonary Hemorrhage by Different Embolic Materials: A Case Report

摘要


分享正丁基-2-氰丙烯酸鹽(NBCA, 25%)及明膠海綿(Gelfoam)對咳血介入治療之案例。利用血管攝影儀DSA攝影,第一次栓塞方式是以Gelfoam藥物進行止血。第二次栓塞方式是注入NBCA 0.5ml混合Lipodol1.5ml(25%)藥物進行止血。二次栓塞後,以支氣管鏡及肺部電腦斷層攝影檢查,顯示兩種栓塞方法,皆不會影響肺功能。暫時性栓塞常用藥物Gelfoam對咳血的介入治療是無法完全治癒,反之永久性栓塞物質NBCA(25%)卻可以有效治癒。

並列摘要


The share of N-butyl-2-cyanoacrylate (NBCA, 25%) and Gelfoam in the interventional therapy of hemoptysis cases. The use of angiography DSA, the first way is to break into the Gelfoam drug embolization to stop bleeding. The second embolization into the NBCA (0.5ml) and Lipodol is mixed 1.5ml (25%) of hemostasis drugs. After the two embolization, with bronchoscopy and computer tomography examination, shows that these two approaches are not affect pulmonary function using. Temporary embolization drugs commonly used Gelfoam on hemoptysis interventional therapy is not fully cured, and permanent embolic material NBCA (25%) can effectively cure.

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