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探讨床边电子支气管镜在剖腹术后继发性急性肺不张诊疗中的作用。方法 :采用PEN TAXBE - 2 0 0 0型电子支气管镜对剖腹术后继发性急性肺不张 2 4例行床边检查、诊断、治疗。结果 :①肺不张 2 4例占同期同类手术 394例中的 6 .0 6 %。②其特点为 :部位多在双下叶及右中叶 ;患者年龄大、基础病重、手术大 ;粘膜水肿、增厚所致气道狭窄 ;粘稠的分泌物、痰栓、血痂阻塞气道及肺水肿是引起肺不张的主要原因。③治疗效果满意 ,肺复张率为 10 0 % ;无 1例并发症及意外发生。结论 :电子支气管镜是剖腹术后继发性急性肺不张最有效的诊治方法 ,采用床边检查治疗可更早减轻患者的痛苦。
To explore the role of bedside electronic bronchoscopy in the diagnosis and treatment of secondary acute atelectasis after laparotomy. Methods: The bedside examination, diagnosis and treatment of secondary acute atelectomy 24 after laparotomy were performed with PEN TAXBE - 2000 electron bronchoscope. Results: ① Atelectasis 24 cases accounted for 6. 06% of the 394 cases of the same kind of operation in the same period. ② its characteristics are: more than the lower part of the site and the right middle lobe; patients older, the basis of serious illness, surgery; mucosal edema, thickening caused by airway stenosis; viscous secretions, sputum suppository, blood scab blockage gas Road and pulmonary edema is the main cause of atelectasis. ③ satisfied with the treatment effect, lung recovery rate was 10%; no complications and accidents occurred. Conclusion: Electronic bronchoscope is the most effective method of diagnosis and treatment of secondary acute atelectomy after laparotomy. Bedside examination can reduce the suffering of patients earlier.