论文部分内容阅读
目的 :分析上气道阻塞的常见病因、临床症状及不同阻塞部位的特点 ,以早期确立诊断。方法 :对疑诊病例及早行纤维支气管镜检查 ,视病变情况行活检、刷检 ,如出现出血、窒息、喘息加重等表现后要及时处理或停止操作。结果 :12例上气道阻塞病人中气道肿瘤占 12例 ,其中 9例采用手术、放疗、化疗等综合治疗措施 ,症状达到临床缓解 ,1例于纤维支气管镜检查活检后出血窒息死亡 ,2例由声带麻痹和气管软化原因所致者预后良好。结论 :纤维支气管镜检查可以明确阻塞部位、范围、性质 ,为及时有效治疗提供更多的机会
Objectives: To analyze the common causes, clinical symptoms and characteristics of different obstructive sites of upper airway obstruction in order to establish early diagnosis. Method : Perform early fiberoptic bronchoscopy on suspected cases and perform biopsy and brushing according to the lesions. If bleeding, suffocation or increased wheezing occur, perform promptly or stop the operation. Results: Twelve patients with airway obstruction accounted for 12 cases of airway tumors, of which 9 cases were treated with surgery, radiotherapy, chemotherapy and other comprehensive measures, the symptoms reached clinical remission, and 1 patient died of hemorrhagic asphyxia after fiberoptic bronchoscopy biopsy. 2 Cases caused by the vocal cord paralysis and tracheal softening cause a good prognosis. Conclusion: Fiberoptic bronchoscopy can identify the site, extent and nature of obstruction and provide more opportunities for timely and effective treatment.