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纤维支气管镜在急重症患者中的应用探讨 被引量:3

THE APPLICATION OF FIBERBRONCHOSCOPY IN ACUTE SEVERE RESPIRATORY DISEASES
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摘要 纤维支气管镜在急重症患者17例中的应用表明,其在气管切开监护中可直视病灶的改变,及可对支气管作出病理生理的动态观察和诊断,既可检查也可同时进行治疗,是呼吸衰竭治疗的重要手段。对术后肺不张患者纤支镜在直视下检查及吸引,对解除粘稠分泌物引起的肺不张疗效显著。哮喘持续状态出现意识障碍是纤支镜检查可选择的,相对的适应症,可吸净痰栓及作灌洗,疗效佳。突发性呼吸困难纤支镜检查可明确病因。17例收到了较好的效果,无发生严重并发症。 The results of fiberbronchoscopy in 17 cases with acute severe respiratory diseases showed it could safely be used for diagnosis and treatment for these diseases.It could directly look into the lesions present and auek out any sticky or thick secretions sputum which had obstructed the bronchial trees,so relieve the lifethreatening respiratory embarrassment.It has successfully be used in patients with sudden dyspnea,post-operative atelectasis, confusion or unconsciousness occurred in status asthmaticus,and monitoring after tracheotomy. No serious complication was observed.
出处 《广东医学院学报》 1995年第4期291-294,共4页 Journal of Guangdong Medical College
关键词 纤维支气管镜术 肺疾病 纤维支气管镜检 fiberbronchoscopy lung diseases emergencies
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  • 1况九龙,段凤英,齐协飞,颜春松,巫隆湖,范希光,饶玮华.纤维支气管镜在急危重病人气道管理中的应用[J].江西医学院学报,2004,44(6):42-44. 被引量:9
  • 2于成浩,孙永涛.经口痰定量培养对确定下呼吸道感染病原菌的临床意义[J].医学理论与实践,2005,18(2):198-199. 被引量:6
  • 3裴文军,王天立,杨泽刚.床旁纤维支气管镜技术在危重症合并急性呼吸衰竭中的应用[J].医学临床研究,2006,23(3):424-426. 被引量:39
  • 4KREIDER ME,LIPSON DA.Bronchoscopy for atelectasis in the icu:a case report and review of the literature[J].Chest,2003,124(1):344-350.
  • 5Turner JS,WIllcos PA, Hayhurst MD,et al. Fiberoptic bron-choscopy in the intensive care unit, a prospective study of147 proceduers in 107 patients [J]. Crit Care Med, 1994,22:259.
  • 6Verber B, Souweine B, Gachot A,et al. Comparsion of di-rect examination of threetypes of bronchoscopy specimensused to diagnose nosocomial pneumonia[J]. Critical CareMedicine, 2001,28(4) :962-968.
  • 7Kreider Me,Lipson Da. bronchoscopy for atelectasis in theicu : A case report and review of the literature [J]. chest,2003,124(l):344-350.
  • 8Hafner g, Nenhuber A, Hirtenfelder S, et al. Fiberopticendoscopic evaluation of swallowing in intensive care u-nit patients[J].Eur Arch otorhinolaryngol, 2008,265 (4);441-446.
  • 9范红娜.四种气管插管方式在颈髓损伤患者全麻中的应用比较[J].大连医科大学,2011,32(64) : 1024-1026.
  • 10陈祖尧,覃纲,梁传余.困难气管切开的原因和治疗策略[J].临床耳鼻咽喉头颈外科杂志,2009,23(12):570-573. 被引量:23

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