支气管镜在老年肺癌患者术后肺不张中的应用

Role of Bronchoscopy in elderly lung cancer patients with postoperative pulmonary atelectasis

目的:探讨支气管镜下吸痰、支气管肺泡灌洗及加压注气在治疗老年肺癌患者术后肺不张中的应用价值。方法:对32例术后肺不张的老年肺癌患者,行支气管镜下吸痰和支气管肺泡灌洗,必要时加压注气,观察患者肺不张的改善情况。术中严密监测主要生命体征:心率、血压、血氧饱和度及心电示波,将术中及术后生命体征与术前对照。结果:27例患者支气管镜下吸痰和支气管肺泡灌洗后肺不张恢复良好,5例患者在支气管镜下吸痰和支气管肺泡灌洗后肺不张恢复欠佳,给予加压注气后恢复良好,32例患者无严重并发症发生。结论:支气管镜治疗老年肺癌患者术后肺不张效果理想,具有良好的安全性,值得临床推广应用。

Objective:To investigate the value of bronchoscopic suctioning,bronchial lavage and pressurized injection in the treatment of elderly lung cancer patients with postoperative pulmonary atelectasis.Methods:32 cases of postoperative atelectasis elderly patients with lung cancer were received bronchoscopic suctioning and bronchial lavage,if necessary,pressurized gas injection treatment and the situation of patients with atelectasis were observed.Vital signs were closely monitored:heart rate,blood pressure,oxygen saturation and ECG oscilloscope.Intraoperative and postoperative vital signs were compared with preoperative signs.Results:27 cases of patients with bronchial endoscopic suction and bronchoalveolar lavage in pulmonary atelectasis had a good recovery,5 cases of patients with poor recovery in bronchial endoscopic suction and bronchoalveolar lavage atelectasis were given the pressure of gas injection then had good recovery,32 patients with no serious complications occurred.Conclusion:Bronchoscopic treatment of lung cancer in elderly patients with postoperative pulmonary were satisfactory and security,which was worthy of clinical application.