{"title":"慢性肺曲霉病合并咯血的临床评价及介入治疗","authors":"X C Tao","doi":"10.3760/cma.j.cn112147-20250320-00157","DOIUrl":null,"url":null,"abstract":"<p><p>Chronic pulmonary aspergillosis (CPA) complicated by hemoptysis is a clinical emergency with high mortality. This article reviews the pathophysiological mechanisms, imaging assessment methods, multi-approach interventional treatment strategies, and other therapies for CPA complicated by hemoptysis. Since CPA usually involves multiple blood vessels, combined interventional therapy using multiple approaches to embolize the culprit vessels can rapidly and effectively control hemoptysis. Interventional treatment is particularly indicated in patients with massive hemoptysis or those who do not respond to conventional medical therapy. The aim of this article is to optimize the treatment strategies for CPA complicated by hemoptysis and to further improve outcomes.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"48 5","pages":"405-407"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Clinical evaluation and interventional therapy for chronic pulmonary aspergillosis complicated by hemoptysis].\",\"authors\":\"X C Tao\",\"doi\":\"10.3760/cma.j.cn112147-20250320-00157\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Chronic pulmonary aspergillosis (CPA) complicated by hemoptysis is a clinical emergency with high mortality. This article reviews the pathophysiological mechanisms, imaging assessment methods, multi-approach interventional treatment strategies, and other therapies for CPA complicated by hemoptysis. Since CPA usually involves multiple blood vessels, combined interventional therapy using multiple approaches to embolize the culprit vessels can rapidly and effectively control hemoptysis. Interventional treatment is particularly indicated in patients with massive hemoptysis or those who do not respond to conventional medical therapy. The aim of this article is to optimize the treatment strategies for CPA complicated by hemoptysis and to further improve outcomes.</p>\",\"PeriodicalId\":61512,\"journal\":{\"name\":\"中华结核和呼吸杂志\",\"volume\":\"48 5\",\"pages\":\"405-407\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华结核和呼吸杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn112147-20250320-00157\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华结核和呼吸杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112147-20250320-00157","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
[Clinical evaluation and interventional therapy for chronic pulmonary aspergillosis complicated by hemoptysis].
Chronic pulmonary aspergillosis (CPA) complicated by hemoptysis is a clinical emergency with high mortality. This article reviews the pathophysiological mechanisms, imaging assessment methods, multi-approach interventional treatment strategies, and other therapies for CPA complicated by hemoptysis. Since CPA usually involves multiple blood vessels, combined interventional therapy using multiple approaches to embolize the culprit vessels can rapidly and effectively control hemoptysis. Interventional treatment is particularly indicated in patients with massive hemoptysis or those who do not respond to conventional medical therapy. The aim of this article is to optimize the treatment strategies for CPA complicated by hemoptysis and to further improve outcomes.