摘要
目的 :对三年来我院外科手术后的患者有肺部严重并发症的 15例患者进行了 2 5次急诊支气管镜检查 ,通过总结在这些病人施行中的有效性和安全性评价该项操作的临床价值。这些患者来自娇形外科、神经外科、心胸外科和普通外科 ,8例病人行机械通气 ,5例带有气管插管 ,3例气管造口 ;初步诊断为可疑叶段不张 7例 ,肺内浸润 6例 ,不明原因低氧血症 2例。检查操作中所有病人无死亡发生 ;3例病人出现并发症 ,表现为心律不齐 (除外窦性心动过速 ) ,自限性支气管内出血和声门水肿各 1例。叶段不张较轻度膨胀不全或肺浸润胸片在 2 4小时内明显改善 ;气管镜检查前后呼吸系统症状改善、经皮血氧饱和度提高 ;治疗后氧合指数(F1O2 )改善。
Twenty five bronchoscopic examinations were performed in a surgical division on 15 patients in bypast three years and the efficacy and safety of the procedure were analyzed to assess the clinical value in this particular patient population,which are from arthrosteopedic surgery,neurosurgery,cardiothoracic surgery and general surgery.Eight patients were being mechanically ventilated;5 had endotracheal tubes,and 3 had tracheostomies.The primary diagnoses are suspected lobar collapse(7/15),pulmonary infiltrates (6/15),and lower arterial oxygen partial pressure without clear causation (2/15).No deaths occurred within examinations.Complications were seen in 3 patients.There were one patient each of arrhythmias(other than sinustachycardia),self-limited endobronchial bleeding,and glottis edema.Significant improvement was demonstrated for patients with lobar collapse but not for those with mild atelectasis or pulmonary infiltrates on radiographs taken within 24 hours.Symptom of respiratory system,oxygen saturation through skin,and fraction of inspired oxygen(F 1O 2) before and after bronchoscopy were significantly improved.
出处
《中国内镜杂志》
CSCD
2001年第6期8-8,10,共2页
China Journal of Endoscopy
关键词
纤维支气管镜
外科
肺
并发症
Fiber-bronchoscope
Surgery
Lung
Complication
