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目的:探讨纤维支气管镜(纤支镜)在肺不张的诊断及治疗中的意义。方法:对经X线、CT诊断为肺不张的67例患者行纤支镜检查和治疗。结果:纤支镜病因诊断符合率为98.5%。其中肺癌38例(56.7%),炎症19例(28.4%),结核9例(13.4%),异物阻塞1例(1.5%)。病变部位以右上叶16例最多(23.9%),接着依次为右肺下叶(19.4%),右肺中叶(17.9%)。对肺不张患者经纤支镜吸痰、灌洗、局部给药、取出异物等治疗后,患者症状均有不同程度的改善,且炎症、结核、异物所致的肺不张肺叶均有不同程度复张,呼吸功能改善。结论:纤支镜对肺不张的诊断及治疗具有重要意义,且经纤支镜辅助治疗可促进肺复张。
Objective: To investigate the significance of bronchoscopy (bronchoscopy) in the diagnosis and treatment of atelectasis. Methods: Sixty-seven patients with atelectasis diagnosed by X-ray and CT underwent bronchoscopy and treatment. Results: The diagnostic rate of bronchoscopy was 98.5%. There were 38 cases (56.7%) of lung cancer, 19 cases (28.4%) of inflammation, 9 cases (13.4%) of tuberculosis and 1 case (1.5%) of foreign body obstruction. In the lesion, there were 16 cases of right upper lobe (23.9%) followed by lower right lobe (19.4%) and middle right lung (17.9%). Patients with atelectasis through bronchoscopy suction, lavage, local administration, removal of foreign body and other treatment, the patient’s symptoms have improved to varying degrees, and inflammation, tuberculosis, foreign body caused by atelectasis lobes are different Degree of Zhang Zhang, respiratory function improved. Conclusion: The bronchofibroscopy is of great significance in the diagnosis and treatment of atelectasis, and bronchoscopy assisted therapy can promote lung recruitment.