支气管肺泡灌洗术及其临床应用

Bronchoalveolar Lavage and Its Clinical Application

支气管肺泡灌洗应用于肺部感染9例,非感染7例。灌洗总回收率45.0%。非感染病例的支气管肺泡灌洗液的细胞及非细胞成分的数据与文献报道的正常人数据相仿。急性型感染病例总蛋白15.6g/L,白蛋白2.7g/L,lgG0.64g/L,中性白细胞32.9%。迁延型感染病例淋巴细胞32.3%。说明支气管肺泡灌洗液确能反映肺部感染的局部病理变化。

Bronchoalveolar lavage were carried out in 9 cases of lung infectious disease (Group A), and 7 cases of non-infectious diseases (Group B). Total recovery rate was 45.0%. In Group B, the value of cell and acellular component were similar to those reported in references. Bronchoalveolar lavage fluid (BALF) of acute infectious cases contained total protein 15.6 g/L, albumine 2.7 g/L, IgG 0.64 g/L, neutrophil 32.9%. In chronic infectious cases, lymphocyte occupied 32.3%. Therefore, BALF may reflected the local pathologic changes of pulmonary infection. According to these results we suggested the usefulness of BALF examination for the diagnosis of pulmonary desease, such as infectious pulmonary disease and occupational lung disease.