无创治疗手术及胸外伤后肺不张16例的体会

Experience of 16 cases of atelectasis after non-invasive surgery and chest trauma

目的探讨胸部手术或者胸部外伤所引起肺不张的临床诊治方法。方法对16例胸部手术或者胸部外伤后肺不张患者的临床诊治以及其疗效进行分析。结果 16例肺不张的患者中,14例经祛痰、拍背、咳嗽、排痰、吹气球保守治疗肺复张,1例经支气管镜吸痰后肺复张,1例经支气管镜治疗后效果仍不明显。结论祛痰、拍背、咳嗽、排痰、吹气球等保守方法治疗肺不张,疗效显著,且对患者痛苦小,创伤小,安全方便,经济实惠,便于临床推广应用。

Objective To investigate the diagnosis and treatment of 16 cases of atelectasis, caused by thoracic surgery or chest trauma. Methods To analyse the diagnosis, treatment and its clinical efficacy of 16 cases of atelectasis, caused by the thoracic surgery or chest trauma. Results Among the 16 cases of atelectasis, 14 cases pulmonary reexpansion, with the help of expectorant, clapping back, coughing, expectoration, blowing balloons. 1 case pulmonary reexpansion only after bronchoscopic suctioning. 1 case with no clear effect after bronchoscopic suctio- ning. Conclusion Expectorant, clapping back, coughing, expectoration and blowing balloons are the effective, safe, convenient, affordable meth- ods to treatment the pulmonary atelectasis,with little pain or trauma to the patient.