摘要
目的探讨纤维支气管镜治疗肺癌术后痰潴性肺不张的临床价值.方法回顾性分析昆明医科大学第三附属医院胸外科因肺癌术后发生痰潴性肺不张43例患者,行纤支镜吸痰和支气管肺泡灌洗治疗后,观察治疗前及治疗后症状、体征、血氧饱和度、动脉血氧分压、心率、呼吸频率、胸片及CT提示肺复张情况.结果43例发生痰潴性肺不张的患者,经纤支镜治疗后,39例患者治疗后显效,4例有效,治愈39例(90.6%),有效4例(9.4%)、总有效率100%.全组患者无严重并发症发生.结论纤支镜治疗肺癌术后痰潴性肺不张的患者具有创伤小、见效快、安全性高,有效降低肺癌围手术期肺不张的发生率及死亡率.
Objective To investigate the clinical value of fiberoptic bronchoscopy in treatment of atelectasis caused by sputum storage after lung cancer surgery.Methods We retrospectively analyzed the data of 43 patients with atelectasis caused by sputum storage after lung cancer surgery in our department.We observed the symptoms,signs,blood oxygen saturation,arterial blood oxygen partial pressure,heart rate,breathing,chest X-ray and CT signal before and after sputum suction by fiberoptic bronchoscopy and bronchoalveolar lavage treatment.Results In 43 patients with atelectasis caused by sputum storage after lung cancer surgery,fiberoptic bronchoscopy treatment was significantly effective in 39 patients （90.6％） and effective in 4 patients （9.4％）,the total effective rate was 100％.No serious complications occurred in all patients.Conclusion In treatment of atelectasis caused by sputum storage after lung cancer surgery,fiberoptic bronchoscopy has little trauma,quick effect,and high safety,and can effectively reduce the incidence and mortality of perioperative atelectasis of lung cancer.
出处
《昆明医科大学学报》
CAS
2014年第8期70-73,共4页
Journal of Kunming Medical University
基金
云南省社会发展科技计划重点项目(2010CA015)
关键词
纤支镜
肺癌术后
痰潴性肺不张
Fiexible bronchofiberscope
Lung cancer after surgery
Atelectasis caused by sputum storage
