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目的探讨肺不张形成原因及临床治疗方案。方法回顾性分析142例肺不张病例,分析形成原因,不同疾病对肺不张的好发部位、分布及治疗方法。结果肺不张形成的疾病以结核(47.2%)、肿瘤(32.4%)、炎症(14.8%)为多见。支气管镜对结核、炎症引起肺不张有较好治疗价值。结论 CT及支气管镜检查是了解肺不张病因的重要方法,应注意基础治疗,如鼓励患者咳嗽、翻身拍背、超声雾化、反复吸痰和纤维支气管镜检查等。
Objective To investigate the causes and clinical treatment of atelectasis. Methods A retrospective analysis of 142 cases of atelectasis, analysis of causes, different diseases of atelectasis of the site, distribution and treatment. Results The incidence of atelectasis was more common in tuberculosis (47.2%), tumor (32.4%) and inflammation (14.8%). Bronchoscopy on tuberculosis, inflammation caused by atelectasis have a better therapeutic value. Conclusion CT and bronchoscopy is an important method to understand the etiology of atelectasis and should pay attention to basic treatment, such as encouraging patients to cough, turning back, ultrasonic atomization, repeated suctioning and bronchoscopy.