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纤支镜诊治胸部创伤或开胸术后肺不张15例体会

Observation on the treatment of atelectasis after chest trauma or surgery with bronchofibroscope
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摘要 目的研究纤维支气管镜对胸部创伤或开胸术后肺不张的诊疗价值。方法对15例胸部创伤或胸部手术后肺不张患者行纤维支气管镜检查及治疗。结果15例肺不张患者,主要为痰或血块阻塞,经纤维支气管镜反复冲洗吸引后肺复张良好。1例为右主支气管破裂行手术治疗而愈,1例为左主支气管壁软化狭窄经置入内支架治疗而愈。结论对胸部创伤或开胸术后肺不张患者行纤维支气管镜检查在诊断和治疗方面有一定价值。 Objective To investigate the role of bronchofibroscope in atelectasis after chest trauma or surgery. Methods 15 cases with atelectasis developed after chest trauma or surgery were observed and treated with bronchofibroscope. Results The causes of atelectasis were mainly sputum or blood clot and all recovered after suture and flush by bronchofibroscopy. The right main broncheal rupture was found in 1 case and healed after surgery. Stenosis was discovered on the left main branch in another case and healed after inner stenting. Conclusion Bronchofibroscopy is valuable for diagnose and treatment of atelectasis after chest trauma or surgery.
出处 《基层医学论坛》 2008年第22期688-689,共2页 The Medical Forum
关键词 肺不张 胸部创伤 胸部手术 纤维支气管镜 Atelectasis Chest trauma Chest surgery Bronchofibroscope
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  • 1[2]Bisenkov LN,Kochergaev OV. Diagnostic and surgical approach in the combined thoracic trauma complicated by pulmonary and heart contusion. Klin Khir,1999.10:15
  • 2蒋耀光.胸部创伤的临床救治需要加强[J].中国胸心血管外科临床杂志,1998,5(2):65-66. 被引量:25

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