摘要
我院胸外科１９８６年２月至１９９３年２月共开展手术２２３０例，发生术后继发性肺不张２１２例，占９．５１％。采用纤支镜吸痰处理后，其效果令人满意，并且减少或避免气管切开术。继发性肺不张一般发生于手术后１～６天，多数在１～３天，占８５．８５％（１８２例）。发生在双肺下叶为主（左下９７例，右下５３例），占７０．７５％。作者对术后继发性肺不张的原因及应用纤支镜注意事项作了详细探讨，并提出了预防术后继发性肺不张的措施。
From Feb.1986 to Feb.1993,2230 patients were operated during thoracic surgery,and post-operative atelectasis occured in 212 cases.We treated the patients with fiberbronchoscopic drainage with satisfactory result.Atelectasis usually ocurred among 1～6 days post-operatively,and more commonly among 1～3 days.It happened in lower lobes of lungs(97 cases in the left,53 cases in the right)(70.75%).The authors analysed the etiology,and the mechanism of postoperative atelectasis,discussed the precautions of the use of fiberbronchoscopic drainage and the preventive measures.
出处
《内镜》
1994年第2期89-90,共2页
关键词
支气管镜检
肺不张
胸部
外科手术
Fiberbronchoscopy
postoperative atelectasis
thoracic surgery
