摘要
目的通过纤维支气管镜对吸入性损伤进行系统形态学观察,探讨纤维支气管镜下诊断吸入性损伤的形态学标准,早期诊断的可行性,以及纤维支气管镜在吸入性损伤的局部治疗作用。方法经过10年来144例临床应用纤维支气管镜诊治吸入性损伤体会,观察不同损伤程度的形态表现。结果得出镜下诊断和分类,早期(伤后8h 内)经纤维支气管镜诊断吸入性损伤的可行性及意义,借助纤维支气管镜对吸入性损伤局部进行吸引、刷洗、灌注等治疗的临床效果。结论纤维支气管镜在诊断治疗吸入性损伤中有其特殊地位和普及应用的必要性。
Objective To explore the morphological standard of diagnosing inhalation injury,the feasibility of early diagnosis and the topical therapy of inhalation injury through fiberoptic bronchoscopy. Methods In one hundred and forty four patients with inhalation injury that were admitted in 10 years were examined with bronchoscopy,and the results were analysed.Results Diagnostic criteria and classifi- cation were obtained with the aid of the bronchoscopy.It was found feasible to make early diagnosis within 8h and also to exercise treatments in the form of suction,irrigation,etc.Conclusion Bronchoscopy plays an important role in the early diagnosis and treatment of inhalation injury,and it should be used more ex- tensively in patients suspected to have inhalation injury.
