经纤维支气管镜局部给药治疗肺脓肿(附25例报告)

• 作 者: 容中生 张锡煌 谢录煦
• 机 构: 中山医科大学附属第一医院呼吸内科,中山医科大学附属第一医院呼吸内科,中山医科大学附属第一医院呼吸内科
• 出 处: 新医学
• 发表日期: 1988年08期
• 关键词: 内科综合治疗 慢性肺脓肿 α-糜蛋白酶 缩短病 慢性患者 局部注入 经纤支镜 上加 吸痰 肺结核空洞

本文报道25例肺脓肿在内科综合治疗基础上加用经纤支镜局部注入抗生素和α-糜蛋白酶等治疗。结果15例急性患者痊愈,脓腔闭合平均27.8天;7例慢性患者中5例痊愈,脓腔闭合平均50天;2例脓腔缩少。较未用纤支镜给药者明显缩短病程,使部分慢性肺脓肿避免手术治疗。

This article reports 25 cases of lung abscess combined with medical treatment based on the combined use of bronchoscopy local injection of antibiotics and α-chymotrypsin treatment. Results 15 cases of acute patients recovered, abscess closed for an average of 27.8 days; 5 of 7 chronic patients were cured, abscess closed for an average of 50 days; 2 patients reduced abscess. Those who did not use fiberoptic bronchoscopy significantly shortened the course of the disease, so that some chronic lung abscess surgery to avoid.