双肺同期大容量灌洗治疗煤工尘肺(附25例报告)

Bilateral massive whole-lung lavage in the treatment of coal workers pneumoconiosis A Report of 25 cases

我们在单侧分期全肺灌洗实践的基础上,探索灌洗后肺功能恢复的有效技术措施,自1991年3月开展在一次麻醉下双肺同期大容量灌洗获得成功。本文介绍应用这一方法治疗25例煤工尘肺,疗效较为满意。患者的临床症状明显改善,并通过灌冼排出多量煤矽尘与含尘的肺泡巨噬细胞,证明该项新疗法安全、有效。

On the basis of the experiences of alternative separate unilateral lavage of the whole lung in the treatment of pneumoconioses,we have modified the techniques and begun to carry out the bilateral massive whole-lung lavage under anesthesia continu- ously for effective improvement of pulmonary funetion since Mar.1991.This paper presented the satisfactory therapeutic effects of 25 cases of coal worker' pneumoconioses by this method.Clinical symptoms were significantly ameliorated and a large amount of coal-silica particles and dust laden alveolar macrophages were removed after this modified technique This new treatment has been proved safe and effective under proper guidance.