摘要
目的探讨床边纤维支管气镜吸痰和支气管肺泡灌洗治疗胸部肿瘤术后肺不张的临床应用价值及安全性。方法对225例胸部肿瘤术后肺不张患者在心电监护,经皮血氧饱和度监测下,床边表面麻醉后经纤维支气管镜吸痰和支气管肺泡灌洗治疗,观察对比治疗前后的胸片、临床表现、经皮血氧饱和度等指标。结果 225例胸部肿瘤术后肺不张患者经纤维支气管镜吸痰和支气管肺泡灌洗治疗效果明显,且无严重并发症发生。1次吸痰灌洗后临床症状和胸片明显改善,血氧饱和度升高,并在24h内肺复张者187例,经2次吸痰灌洗后肺复张者28例,经3次反复吸痰灌洗的9例,仅1例年老体弱者是在4次反复冲洗吸痰并注入有效抗菌素后肺复张。结论纤维支气管镜吸痰和支气管肺泡灌洗治疗胸部肿瘤术后肺不张是一种较为安全有效的方法,但应考虑到各种不利因素,做好必要的抢救准备。
【Objective】To approach the efficacy and safety of aspiration of sputum and bronchoalveolar lavage by bronchofiberscope for atelectasis of postoperative patients of chest tumor. 【Methods】225 cases of atelectasis after thoracotomy were presented. All cases were treated by aspirating sputum and bronchoalveolar lavage by bronchofiberscope. The clinical symptoms,blood oxygen saturation,chest X-ray film were compared.【Results】The clinical symptoms,blood oxygen saturation and chest X-ray were improved obviously and atelectasis finally re-expanded within 24 hours after treatment without serious complications. Among all the patients,187 cases underwent treatment once,37 cases underwent 2 or 3 times. Only one case was cured by application of antibiotics endotracheally combined with the treatment above-mentioned for 4 times. 【Conclusion】Aspiration of sputum and bronchoalveolar lavage by bronchofiberscope is a safe and efficacy therapy for atelectasis after thoractomy.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第4期424-426,429,共4页
China Journal of Endoscopy
关键词
纤维支管气镜
支气管肺泡灌洗
胸部肿瘤/外科治疗
肺不张
bronchofiberscope
bronchoalveolar lavage
tumor of chest/surgery treatment
pulmonary ateletasis
