麻醉方法改进后电子支气管检查在慢性咳嗽诊断中的作用

Application of electronic bronchoscopy in diagnosis of chronic cough after anesthesia method improved

目的麻醉方法改进后应用电子支气管镜对59例原因不明的慢性咳嗽患者进行检查。方法所进行检查的59例患者均符合慢性咳嗽诊断标准并排除鼻后滴漏综合征、哮喘、胃食道返流、嗜酸细胞性支气管炎后,予以个体化的麻醉方法后进行电子支气管镜检查。结果支气管粘膜慢性炎症21例,气管或支气管内膜结核10例,支气管癌9例,支气管息肉4例,声带病变3例,气管、真菌感染2例,气管内异物2例,镜检正常者8例。结论麻醉方法改进后对慢性咳嗽患者进行电子支气管镜检查有重要意义。

Objective After Anesthesia method improvement, to investigate the clinical value of Electronic bronchoscopy in diagnosing the cause of chronic cough. Methods After ruled out the diagnosis of cough variant asthma, postnasal drip syndrome and gastroesophageal reflux, Eosinophilic acid granulocyte bronchitis （EB） ,59 patients suffered from chronic cough of unknown for 8 weeks. First use individual anesthetic method then examined with electronic bronchoscopy. Results After the examination with electronic bronchoscopy [＇or diagnosing the cause of chronic cough, 21 patients with chronic bronchitis, 10 patients with tracheal or bronchial tuberculosis,9 patients with bronchopulmonary carcinoma,4 patients with bronchial polyps,3 patients with vocal cord lesions,2 patients with bronchial fungal infection,2 patients bronchial eye winker, 8 patients were normal. Conclusions The data show the examination of electronic bronchoscop is quite indispensable to diagnose the cause of chronic cough.