Objective:To study the improving effect of sputum aspiration combined with bronchoalveolar lavage by fiber bronchoscope on the condition and inflammation in lung cancer patients with postoperative pulmonary infection....Objective:To study the improving effect of sputum aspiration combined with bronchoalveolar lavage by fiber bronchoscope on the condition and inflammation in lung cancer patients with postoperative pulmonary infection.Methods:A total of 78 patients with lung cancer who received surgical treatment in our hospital between August 2013 and January 2015 and were with postoperative infection were selected as the research subjects and randomly divided into two groups, control group received mechanical ventilation therapy, observation group received bronchoalveolar lavage by bronchoscope combined with mechanical ventilation, and the inflammatory factor levels, RAAS system activity and respiratory mechanics indexes of two groups were determined after treatment.Results:3 d after treatment, serum hs-CRP, TNF-α, IL-8, PCT, renin, angiotensin II and aldosterone levels of observation group were lower than those of control group, and PIP, Raw and WOB values were lower than those of control group while Cdyn value was higher than that of control group.Conclusion:For lung cancer patients with postoperative pulmonary infection, bronchoalveolar lavage by bronchoscope combined with mechanical ventilation can optimize patients' condition, relieve systemic inflammatory response and improve respiratory function, and it has positive clinical significance.展开更多
Objective: To discuss the effect of lung lavage via fiber bronchoscope combined with non-invasive positive pressure ventilation on the blood gas results and systemic state of patients with COPD complicated by severe p...Objective: To discuss the effect of lung lavage via fiber bronchoscope combined with non-invasive positive pressure ventilation on the blood gas results and systemic state of patients with COPD complicated by severe pneumonia. Methods: A total of 68 patients with COPD complicated by severe pneumonia who were treated in the hospital between November 2015 and April 2017 were collected, retrospectively analyzed and then divided into the group A (n=35) who received noninvasive positive pressure ventilation and the group B (n=33) who received lung lavage via fiber bronchoscope combined with non-invasive positive pressure ventilation. The differences in arterial blood gas and serum index levels were compared between the two groups before and after treatment. Results: Before treatment, there was no statistically significant difference in arterial blood gas index levels as well as serum contents of inflammatory mediators, stress hormones and myocardial enzyme spectrum indexes between the two groups. After treatment, arterial blood gas indexes PH and PaO2 levels of group B were higher than those of group A;serum inflammatory mediators HMGB1, PCT and hs-CRP contents were lower than those of group A;serum stress hormones Cor, AngⅠ and AngⅡcontents were lower than those of group A;serum myocardial enzyme spectrum indexesα-HBDH and cTn-Ⅰ contents were lower than those of group A. Conclusion: Lung lavage via fiber bronchoscope combined with non-invasive positive pressure ventilation can effectively optimize the arterial blood gas levels, reduce systemic inflammatory stress state and protect the myocardial function of patients with COPD complicated by severe pneumonia.展开更多
Objective:Placement of self expanding metallic stents(SEMS) is invariably associated with complications and often necessitates their removal usually by rigid bronchoscope.There have been few reports published on use o...Objective:Placement of self expanding metallic stents(SEMS) is invariably associated with complications and often necessitates their removal usually by rigid bronchoscope.There have been few reports published on use of flexible bronchoscope(FB) for the removal.This article summarizes the indications,methods and complications of SEMS removal by FB.Methods:We reviewed our experience with removal of SEMS using FB retrospectively.The clinical data on 29 patients with average age of(39.0±13.2) years was analyzed who underwent removal of SEMS using FB between April 2002 and August 2008.Results:Thirty-seven procedures were performed in 29 consecutive patients to remove 37 stents.The average duration of stent placement was(55± 94.7) d(0-472 d).Twenty-two procedures(59.4%) were performed under local anesthesia.The percentage of procedures under general anesthesia was 13%(3/24),67%(4/6) and 100%(7/7) for the short-term(≤30 d),medium-term(31-90 d) and long-term(>90 d) of stents placement,respectively.Indications for stents removal included migration in 15(40.6%),scar restenosis in 11(29.7%),airway shaping in 5(13.5%),stent fracture in 2(5.4%),stent incomplete expansion in 2(5.4%),improper size in 1(2.7%),mucus plugging with chest pain in 1(2.7%).And 85.7% of long-term stents were removed due to scar restenosis.The total success rate was 92%.There was no significant difference in success rate between the uncovered and covered group(82.3% and 100%,P>0.05).Complications were encountered in 13 patients,bleeding being the most common(53.8%).Conclusion:Operation by FB may be an alternative method to remove SEMS effectively and safely based on the proper anesthesia chosen.展开更多
Objective In order to achieve immediate relief of central airway obstruction caused by malignant tumor after interventional therapy, we observed the efficacy and safety of cryorecanalization after cryosurgery via fle...Objective In order to achieve immediate relief of central airway obstruction caused by malignant tumor after interventional therapy, we observed the efficacy and safety of cryorecanalization after cryosurgery via flexible bronchoscope.展开更多
Objective: to study and analyze the application value of fiberoptic bronchoscopy-guided nasotracheal intubation in pre-hospital first aid. Methods: 60 pre-hospital emergency critical cases admitted in our hospital fro...Objective: to study and analyze the application value of fiberoptic bronchoscopy-guided nasotracheal intubation in pre-hospital first aid. Methods: 60 pre-hospital emergency critical cases admitted in our hospital from February 2020 to December 2021 were randomly divided into the research group and the control group with 30 cases in each group. All of them were treated with conventional pre-hospital emergency treatment. The research group was treated with nasotracheal intubation under the guidance of fiberoptic bronchoscope, while the control group was treated with open-vision endotracheal intubation. The effects of tracheal intubation and blood gas indexes before and after emergency treatment were evaluated and compared between the two groups.展开更多
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
Objective: to explore the application value of whole-course nursing in the treatment of pneumoconiosis patients with whole lung lavage by bronchoscope. Methods: 30 patients with pneumoconiosis admitted to our hospital...Objective: to explore the application value of whole-course nursing in the treatment of pneumoconiosis patients with whole lung lavage by bronchoscope. Methods: 30 patients with pneumoconiosis admitted to our hospital from January 2017 to January 2022 were selected as the research object. According to the implementation of the nursing plan, they were divided into the whole-course group and the routine group, with 15 patients in each group. The lung function, arterial blood oxygen partial pressure index, postoperative recovery and psychological state of the two groups were compared. Results: the comparison of pulmonary function and arterial oxygen partial pressure index before treatment between the whole course group and the conventional group had statistical significance (P > 0.05). After treatment, it was better than before, and the whole course group was better than the control group (p < 0.05). Compared with the control group, the ambulation time, extubation time and hospitalization time of the whole group were lower. Compared with the conventional group, the pain score was higher (p < 0.05). Compared with the normal group, the psychological state score was higher (p < 0.05). Conclusion: during the period of treating pneumoconiosis with bronchoscope whole lung large volume lavage, complete nursing can improve the disease index of patients, accelerate the recovery of patients' symptoms, and reduce patients' negative emotions.展开更多
Objective To evaluate the value of autofluorescence bronchoscope (AFB) in airway examination in central type lung cancer. Methods From Sep 2009 to Mar 2010,29 patients (23 men,6 women,median age 62. 2 years,range from...Objective To evaluate the value of autofluorescence bronchoscope (AFB) in airway examination in central type lung cancer. Methods From Sep 2009 to Mar 2010,29 patients (23 men,6 women,median age 62. 2 years,range from 34 to 81 years) underwent AFB procedure. There were 3 lesions located at trachea,1 at展开更多
文摘Objective:To study the improving effect of sputum aspiration combined with bronchoalveolar lavage by fiber bronchoscope on the condition and inflammation in lung cancer patients with postoperative pulmonary infection.Methods:A total of 78 patients with lung cancer who received surgical treatment in our hospital between August 2013 and January 2015 and were with postoperative infection were selected as the research subjects and randomly divided into two groups, control group received mechanical ventilation therapy, observation group received bronchoalveolar lavage by bronchoscope combined with mechanical ventilation, and the inflammatory factor levels, RAAS system activity and respiratory mechanics indexes of two groups were determined after treatment.Results:3 d after treatment, serum hs-CRP, TNF-α, IL-8, PCT, renin, angiotensin II and aldosterone levels of observation group were lower than those of control group, and PIP, Raw and WOB values were lower than those of control group while Cdyn value was higher than that of control group.Conclusion:For lung cancer patients with postoperative pulmonary infection, bronchoalveolar lavage by bronchoscope combined with mechanical ventilation can optimize patients' condition, relieve systemic inflammatory response and improve respiratory function, and it has positive clinical significance.
文摘Objective: To discuss the effect of lung lavage via fiber bronchoscope combined with non-invasive positive pressure ventilation on the blood gas results and systemic state of patients with COPD complicated by severe pneumonia. Methods: A total of 68 patients with COPD complicated by severe pneumonia who were treated in the hospital between November 2015 and April 2017 were collected, retrospectively analyzed and then divided into the group A (n=35) who received noninvasive positive pressure ventilation and the group B (n=33) who received lung lavage via fiber bronchoscope combined with non-invasive positive pressure ventilation. The differences in arterial blood gas and serum index levels were compared between the two groups before and after treatment. Results: Before treatment, there was no statistically significant difference in arterial blood gas index levels as well as serum contents of inflammatory mediators, stress hormones and myocardial enzyme spectrum indexes between the two groups. After treatment, arterial blood gas indexes PH and PaO2 levels of group B were higher than those of group A;serum inflammatory mediators HMGB1, PCT and hs-CRP contents were lower than those of group A;serum stress hormones Cor, AngⅠ and AngⅡcontents were lower than those of group A;serum myocardial enzyme spectrum indexesα-HBDH and cTn-Ⅰ contents were lower than those of group A. Conclusion: Lung lavage via fiber bronchoscope combined with non-invasive positive pressure ventilation can effectively optimize the arterial blood gas levels, reduce systemic inflammatory stress state and protect the myocardial function of patients with COPD complicated by severe pneumonia.
文摘Objective:Placement of self expanding metallic stents(SEMS) is invariably associated with complications and often necessitates their removal usually by rigid bronchoscope.There have been few reports published on use of flexible bronchoscope(FB) for the removal.This article summarizes the indications,methods and complications of SEMS removal by FB.Methods:We reviewed our experience with removal of SEMS using FB retrospectively.The clinical data on 29 patients with average age of(39.0±13.2) years was analyzed who underwent removal of SEMS using FB between April 2002 and August 2008.Results:Thirty-seven procedures were performed in 29 consecutive patients to remove 37 stents.The average duration of stent placement was(55± 94.7) d(0-472 d).Twenty-two procedures(59.4%) were performed under local anesthesia.The percentage of procedures under general anesthesia was 13%(3/24),67%(4/6) and 100%(7/7) for the short-term(≤30 d),medium-term(31-90 d) and long-term(>90 d) of stents placement,respectively.Indications for stents removal included migration in 15(40.6%),scar restenosis in 11(29.7%),airway shaping in 5(13.5%),stent fracture in 2(5.4%),stent incomplete expansion in 2(5.4%),improper size in 1(2.7%),mucus plugging with chest pain in 1(2.7%).And 85.7% of long-term stents were removed due to scar restenosis.The total success rate was 92%.There was no significant difference in success rate between the uncovered and covered group(82.3% and 100%,P>0.05).Complications were encountered in 13 patients,bleeding being the most common(53.8%).Conclusion:Operation by FB may be an alternative method to remove SEMS effectively and safely based on the proper anesthesia chosen.
文摘Objective In order to achieve immediate relief of central airway obstruction caused by malignant tumor after interventional therapy, we observed the efficacy and safety of cryorecanalization after cryosurgery via flexible bronchoscope.
文摘Objective: to study and analyze the application value of fiberoptic bronchoscopy-guided nasotracheal intubation in pre-hospital first aid. Methods: 60 pre-hospital emergency critical cases admitted in our hospital from February 2020 to December 2021 were randomly divided into the research group and the control group with 30 cases in each group. All of them were treated with conventional pre-hospital emergency treatment. The research group was treated with nasotracheal intubation under the guidance of fiberoptic bronchoscope, while the control group was treated with open-vision endotracheal intubation. The effects of tracheal intubation and blood gas indexes before and after emergency treatment were evaluated and compared between the two groups.
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Objective: to explore the application value of whole-course nursing in the treatment of pneumoconiosis patients with whole lung lavage by bronchoscope. Methods: 30 patients with pneumoconiosis admitted to our hospital from January 2017 to January 2022 were selected as the research object. According to the implementation of the nursing plan, they were divided into the whole-course group and the routine group, with 15 patients in each group. The lung function, arterial blood oxygen partial pressure index, postoperative recovery and psychological state of the two groups were compared. Results: the comparison of pulmonary function and arterial oxygen partial pressure index before treatment between the whole course group and the conventional group had statistical significance (P > 0.05). After treatment, it was better than before, and the whole course group was better than the control group (p < 0.05). Compared with the control group, the ambulation time, extubation time and hospitalization time of the whole group were lower. Compared with the conventional group, the pain score was higher (p < 0.05). Compared with the normal group, the psychological state score was higher (p < 0.05). Conclusion: during the period of treating pneumoconiosis with bronchoscope whole lung large volume lavage, complete nursing can improve the disease index of patients, accelerate the recovery of patients' symptoms, and reduce patients' negative emotions.
文摘Objective To evaluate the value of autofluorescence bronchoscope (AFB) in airway examination in central type lung cancer. Methods From Sep 2009 to Mar 2010,29 patients (23 men,6 women,median age 62. 2 years,range from 34 to 81 years) underwent AFB procedure. There were 3 lesions located at trachea,1 at
