摘要
目的探讨纤维支气管镜在诊断和治疗急性肺不张中的临床价值。方法对78例急性肺不张患者行纤维支气管镜治疗和诊断的临床资料进行回顾性分析。结果 78例肺不张肿瘤引起占41.0%,炎症占28.2%,结核占19.2%,烧伤占6.4%,痰栓占5.1%。在24h内复张46例,在48h内复张15例,72h后复张10例;57例患者肺复张痊愈,23例好转,7例无效。78例患者临床症状均得到明显改善或消失。患者PCO2下降,PO2、SaO2均有不同程度的升高。结论纤维支气管镜对急性肺不张的诊断有重要价值,能迅速明确诊断,有效清除气道分泌物,是治疗术后急性肺不张的一种操作简便、安全、有效的方法。
Objective To investigate the clinical value of bronchoscope in the diagnosis and treatment of acute pulmonary atelectasis. Methods 78 cases of acute atelectasis by diagnosis and treatment of fibrotic bronchoscope were retrospectively analyzed. Results 78 cases of pulmonary atelectasis were caused by 41.0% of tumor, 28.2% of inflammation, 19.2% of tuberculosis, 6.4% of burns, and 5.1% of sputum. Within 24 h, 46 cases had reexpansion; within 48 h, 15 cases had reexpansion; 72 h later, reexpansion occured in 10 cases; 57 patients with lung recruitment recovered, 23 cases improved, 7 cases were ineffective. Clinical symptoms in 78 patients were significantly improved or disappeared. PCO2 decreased, PO2, SaO2 increased in varying degrees. Conclusion The bronchoscope in the diagnosis of acute atelectasis is valuable for quick diagnosis and effective clearance of airway secretions, which is a simple, safe and effective method for treatment of post- operative acute atelectasis.
出处
《临床医学工程》
2011年第3期373-374,共2页
Clinical Medicine & Engineering
关键词
纤维支气管镜
诊断
急性肺不张
治疗
Fiberoptie bronchoscopy
Diagnosis
Acute atelectasis
Treatment
