支气管肺泡灌洗在小儿肺部疾病治疗中的作用  

THE VALUE OF BRONCHOALVEOLAR LAVAGE BY FIBERBRONCHOSOCOPE IN TREATMENT OF CHILDREN WITHCHRONIC PULMONARY DISEASE

作　　者：高红[1] 刘玺成[1] 江沁波[1] 

机构地区：[1]首都医科大学附属北京儿童医院儿科研究所

出　　处：《中华儿科杂志》1995年第3期136-137,共2页Chinese Journal of Pediatrics

摘　　要：经纤维支气管镜对５０例慢性肺部疾病患儿进行支气管肺泡灌洗治疗。按年龄，灌洗液总量为２５～１２５ｍｌ不等，分５等份进行灌洗。对肺部有感染的，灌洗液前２份为３７℃的生理盐水，后３份为３７℃、０．１２５％～０．２５％甲硝唑。无明显感染者，５等份均为３７℃生理盐水。灌洗后，依病情可局部给药。结果，３２例肺不张中２０例复张，６例好转，６例无变化：１５例慢性肺炎中６例痊愈，９例好转；３例纤维性肺泡炎临床症状改善。提示支气管肺泡灌洗对上述肺部疾病是一种有效的治疗手段。ronchoalveolar lavage was performed in 50 chil-dren with chronic pulmonary disease by fiberbron-choscope. The lavage fluid varied from 25ml～125mlaccording to the age of these children.The fluid wasdivided into 5 equal parts.For the children with pul-monary infection,the lavage fluid of the first 2 partswas 0.9% sodium chloride solution,the other was0.125%～0.25% metronidazole.For the childrenwithout pulmonary infection,each part of the fluid was0.9% sodium chloride solution.After the lavage wascompleted,the children were given antibiotics or be-cotid according to the their condition.Of 32 cases ofatelectasis,20 recovered completely,6 improved and 6did not have any response.Of 15 cases of chronic pul-monary infection,6 were cured and 9 improved.3 cas-es of fibrotic alveolitis were improved.We concludethat bronchoalveolar lavage is an effective treatment forchildren with chronic pulmonary disease.

关 键 词：肺疾病 冲洗法 支气管肺泡 灌洗液 儿童 

分 类 号：R725.630.5[医药卫生—儿科]