摘要
本组22例肺不张,采用了支气管肺泡灌洗治疗,其中20例可逆性肺不张均已治愈,其治愈率为90.9％。通过回顾分析后充分认识到要提高治疗性支气管肺泡灌洗术的疗效,必须注意选择可逆性肺不张病例,早期施治;对于病因不同及病变范围各异的病例,灌洗次数亦不相同;对于呼吸衰竭病人,应保证充分供氧,同时在血气和心电监护下,由技术熟练的医师进行灌洗,操作轻巧敏捷,坚持间歇吸引,控制负压不能过大;对于多次灌洗无效的病人,应进一步检查;如发现有支气管结石,肺慢性炎症久治无效,或仍不能排除肿瘤者,应及早手术治疗。支气管肺泡灌洗治疗可逆性肺不张目的性强、效果显著、安全、可靠,值得推广。
Twenty -- two patients with atelectasis were treated with bronchoalveol ar lavage from October, 1989 to Merch,1991. Among them, 20 were cured, the cure rate being 90.9%. Our experience is as follows: (1) In order to increase the effectiveness of bronchoalveolar lavage therapy, the pulmonary atelectasis must be reversible and should be treated as carly as possible. (2) Times of lavage vary with the etiology and the extent of lesion. (3)For the patients with respiratory failure, lavage should be performed by skilled physician under blood gas and electrocardiographic monitoring. Suction is intermittent and suction pressure should be adjusted approximately. (4)When 1avage treatment is nonrcsponsible, further examination is needed. (5) If brohchial calculi were found, if chronic inflammation of the lung is nontesponsive to proionged lavage, or the presence of tumor is suspected, the surgical trcatment should be underwent. The bronchoalveolar lavage therapy is excellent, safe, reliable, and is worth popularizing.
出处
《现代诊断与治疗》
CAS
1992年第4期333-335,共3页
Modern Diagnosis and Treatment
关键词
肺不张
支气管
肺泡
灌洗
Bronchoalveolar lavage
Reversible atelectasis
