Objective: to analyze the effect of bronchoscope sputum aspiration combined with alveolar lavage in the treatment of severe pulmonary infection. Methods: a total of 200 patients with severe pulmonary infection from Ap...Objective: to analyze the effect of bronchoscope sputum aspiration combined with alveolar lavage in the treatment of severe pulmonary infection. Methods: a total of 200 patients with severe pulmonary infection from April 2019 to April 2020 in our hospital were selected, and the patients were randomly divided into two groups with 100 cases in each group according to the numerical table. The patients in the control group were given conventional treatment, while those in the observation group were given additional treatment including fiberoptic bronchoscope sputum aspiration and alveolar lavage. The length of stay in hospital, medical expenses, inflammation biochemical indicators before and after treatment and the total effective rate were compared between the two groups. Results: the hospitalization days and medical expenses in the observation group were lower than those in the control group. The inflammatory biochemical test indexes of patients after treatment were lower than those in the control group. The total effective rate was higher than that in the control group (P < 0.05). Conclusion: conventional treatment combined with fiberoptic bronchoscope sputum aspiration and alveolar lavage has reliable effect on severe pulmonary infection, and can control pulmonary inflammation, shorten treatment time and reduce medical burden.展开更多
Fiberoptic bronchoscope （FOB） is an important instrument for respiratory, disorder examination and difficult airway can avoid management. The fiberoptic intubation the mechanical stimulus to oropharyngolaryngeal str...Fiberoptic bronchoscope （FOB） is an important instrument for respiratory, disorder examination and difficult airway can avoid management. The fiberoptic intubation the mechanical stimulus to oropharyngolaryngeal structures thereby it is likely to attenuate hemodynamic responses during orotracheal intubation. However, the relevant studies showed conflicting results. In this study, we observed the hemodynamic responses to orotracheal intubation using an FOB and a direct laryngoscope （DLS） in healthy adults under general anesthesia to examine the efficacy of the FOB in attenuating the hemodynamic responses to orotracheal intubation.展开更多
Background and Aims： Since our rural institution has liamted resources we always choose econoamcal options. Recently, indigenous technique of pleuroscopy is gaining popularity due to various advantages. We developed ...Background and Aims： Since our rural institution has liamted resources we always choose econoamcal options. Recently, indigenous technique of pleuroscopy is gaining popularity due to various advantages. We developed indigenous technique of medical thoracoscopy has been developed and done by using set of patented conduits and fiberoptic bronchoscope （FOB）.Therefore, we have used this technique for undiagnosed pleural effusions. Methods： An observational study was conducted in 79 undiagnosed cases of exudative pleural effusion from June 2016 to Jmmary 2017. Indigenous technique consists of use of fiber optic bronchoscope through various metallic conduits to be used in specified order for medical thoracoscopy. Procedure is done under conscious sedation and conduits are passed one after another in a specified order, through the chest stoma. The visualization of pleural cavity and various procedures were done with FOB （fiberoptic bronchoscope）. Results： Out of the 79 cases, the appearance of pleura showed, inflamed/reddened pleura in 16 （20.2%） cases, thin transparent adhesions in 18 （22.7%）, thin transparent loculations in 16 （20.2%） cases, thick loculations in 6 （7.6%） cases, hard pleural surface in 5 （6.3%）, large nodule/masses in 6 （7.6%）, small amlliary seedlings or sago grain appeoxmlce in 6 （7.6%）, scattered masses or nodules in 5 （6.3%） and, broncho-pleural fistula was observed in 1 （1.2%） case. Histopathological analysis showed chronic inflammation in 34.1% （27）, tubercular lesions in 24.05% （19） of patients. Primary aspergillosis and mesothelioma each has 1 case, and the rest 29.11% （23） were pleural metastasis. Thus, diagnostic yield of pleuroscopy pleural biopsy was 89.9% （71）. Conclusion： Indigenous technique appears to be an efficient and relatively safe procedure with good diagnostic yield in undiagnosed pleural effusions.展开更多
文摘Objective: to analyze the effect of bronchoscope sputum aspiration combined with alveolar lavage in the treatment of severe pulmonary infection. Methods: a total of 200 patients with severe pulmonary infection from April 2019 to April 2020 in our hospital were selected, and the patients were randomly divided into two groups with 100 cases in each group according to the numerical table. The patients in the control group were given conventional treatment, while those in the observation group were given additional treatment including fiberoptic bronchoscope sputum aspiration and alveolar lavage. The length of stay in hospital, medical expenses, inflammation biochemical indicators before and after treatment and the total effective rate were compared between the two groups. Results: the hospitalization days and medical expenses in the observation group were lower than those in the control group. The inflammatory biochemical test indexes of patients after treatment were lower than those in the control group. The total effective rate was higher than that in the control group (P < 0.05). Conclusion: conventional treatment combined with fiberoptic bronchoscope sputum aspiration and alveolar lavage has reliable effect on severe pulmonary infection, and can control pulmonary inflammation, shorten treatment time and reduce medical burden.
文摘Fiberoptic bronchoscope （FOB） is an important instrument for respiratory, disorder examination and difficult airway can avoid management. The fiberoptic intubation the mechanical stimulus to oropharyngolaryngeal structures thereby it is likely to attenuate hemodynamic responses during orotracheal intubation. However, the relevant studies showed conflicting results. In this study, we observed the hemodynamic responses to orotracheal intubation using an FOB and a direct laryngoscope （DLS） in healthy adults under general anesthesia to examine the efficacy of the FOB in attenuating the hemodynamic responses to orotracheal intubation.
文摘Background and Aims： Since our rural institution has liamted resources we always choose econoamcal options. Recently, indigenous technique of pleuroscopy is gaining popularity due to various advantages. We developed indigenous technique of medical thoracoscopy has been developed and done by using set of patented conduits and fiberoptic bronchoscope （FOB）.Therefore, we have used this technique for undiagnosed pleural effusions. Methods： An observational study was conducted in 79 undiagnosed cases of exudative pleural effusion from June 2016 to Jmmary 2017. Indigenous technique consists of use of fiber optic bronchoscope through various metallic conduits to be used in specified order for medical thoracoscopy. Procedure is done under conscious sedation and conduits are passed one after another in a specified order, through the chest stoma. The visualization of pleural cavity and various procedures were done with FOB （fiberoptic bronchoscope）. Results： Out of the 79 cases, the appearance of pleura showed, inflamed/reddened pleura in 16 （20.2%） cases, thin transparent adhesions in 18 （22.7%）, thin transparent loculations in 16 （20.2%） cases, thick loculations in 6 （7.6%） cases, hard pleural surface in 5 （6.3%）, large nodule/masses in 6 （7.6%）, small amlliary seedlings or sago grain appeoxmlce in 6 （7.6%）, scattered masses or nodules in 5 （6.3%） and, broncho-pleural fistula was observed in 1 （1.2%） case. Histopathological analysis showed chronic inflammation in 34.1% （27）, tubercular lesions in 24.05% （19） of patients. Primary aspergillosis and mesothelioma each has 1 case, and the rest 29.11% （23） were pleural metastasis. Thus, diagnostic yield of pleuroscopy pleural biopsy was 89.9% （71）. Conclusion： Indigenous technique appears to be an efficient and relatively safe procedure with good diagnostic yield in undiagnosed pleural effusions.
