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| 1 | 多排螺旋CT血管成像与数字减影血管造影对比评价大咯血患者支气管动脉的临床价值显示文摘目的与数字减影血管造影(DSA)对照,探讨多排螺旋CT血管成像(MSCTA)显示大咯血患者支气管动脉的临床价值。方法回顾性分析均行MSCTA及DSA的120例大咯血患者的资料,男性93例、女性27例,年龄16~85岁,平均52.4岁。其中108例为肺结核患者,12例为支气管扩张患者。对其MSCTA原始数据进行容积再现(VR)、最大密度投影(MIP)、多平面重组(MPR)及曲面重建(CPR)等三维后处理,显示和描述支气管动脉的开口位置及分支类型等解剖信息,并与DSA结果进行对照分析。结果对120例大咯血患者的MSCTA支气管动脉进行统计,发现支气管动脉271支,异位支气管动脉21支,发现咯血责任血管182支。以DSA为金标准,MSCTA对支气管动脉的检出率为96.7%,MSCTA对咯血责任血管的检出率为95.3%。结论 MSCTA能很好地发现支气管动脉,并为辅助支气管动脉栓塞介入手术插管治疗大咯血提供了理想的影像支持。 | 德杰 程钢 张凤令 张敬华 刘秀香 李敏杰 杨燕英 | 2016 | 中华临床医师杂志(电子版)2016，10，15： | 7 |
| 2 | Bronchial bleeding caused by recurrent pneumonia after radical esophagectomy for esophageal cancer显示文摘We herein report a case of bronchial bleeding afterradical esophagectomy that was treated with lobectomy.A 65-year-old male who underwent subtotal esophagectomy with three-field lymph node dissection for esophageal carcinoma was referred to our hospital because of sudden hemoptysis.After the esophagectomy,bilateral vocal cord paralysis was observed,and the patient suffered from repeated episodes of aspiration pneumonia.Bronchoscopy revealed hemosputum in the right middle lobe bronchus,and contrast-enhanced computed tomography showed tortuous arteries arising from the right inferior phrenic artery and left subclavian artery toward the right middle lobe bronchus.Although bronchial arterial embolization was performed twice to control the recurrent hemoptysis,the procedures were unsuccessful.Right middle lobectomy was therefore performed via video-assisted thoracic surgery.Engorged bronchial arterys with medial hypertrophy and overgrowth of the small branches were noted near the bronchus in the resected specimen.The patient recovered uneventfully and was discharged on postoperative day 14. | Toshihiro Kitajima Kota Momose Seigi Lee Shusuke Haruta Masaki Ueno Hisashi Shinohara Sakashi Fujimori Takeshi Fujii Ryoji Takei Tadasu Kohno Harushi Udagawa | 2015 | World Journal of Gastroenterology2015，21，11： | 3 |
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