经纤维支气管镜治疗急性肺不张45例临床分析

Clinical analysis of fiberoptic bronchoscope in the treatment of 45 patients with acute atelectasis

目的探讨经纤维支气管镜治疗急性肺不张的临床价值。方法对45例急性肺不张患者行纤维支气管镜检查,并行吸引、局部灌洗治疗。结果 36例患者经1次纤维支气管镜吸引灌洗后肺复张,9例经2次吸引灌洗后肺复张,未发生意外情况。结论纤维支气管镜对急性肺不张的诊断与治疗有重要价值,可有效清除气道内血凝块、痰液及分泌物,缩短病程,是急性肺不张患者的一种操作简便、安全、有效、经济的治疗手段。

Objective To explore the clinical value of fiberoptic bronchoscope in the treatment of acute atelectasis. Methods Forty-five patients with acute atelectasis received fiberoptic bronchoscopy, attracting and local irrigation. Results Thirty-six patients got lung recruitment after first bronchoscopic attraction and lavage ;9 patients got lung recruitment after second bronehoscopic attraction and lavage, without incident. Conclusion Fiberoptic bronchoscope is great valuable for the diagnosis and treatment of the patient with acute atelectasis, which can effectively remove blood clots, sputum and secretion in the airways, shorten the duration of symptoms. It is a better for the treatment of patients with acute atelectasis.