纤维支气管镜在肺移植术后管理中的应用  

Application of flexible bronchoscopy in postoperative management of lung transplantion

作　　者：刘君[1] 崔飞[1] 蔡瑞军[1] 何建行[1] 

机构地区：[1]广州医学院广州呼吸疾病研究所胸外科,广东广州510120

出　　处：《第一军医大学学报》2005年第12期1543-1545,共3页Journal of First Military Medical University

摘　　要：目的探讨纤维支气管镜在肺移植术治疗终末期肺气肿病人术后管理中的作用。方法4例肺部疾病终末期患者,单侧肺移植围手术期用纤维支气管镜给予观察以及相关处理,1例术后2个月由于患者左主支气管出现狭窄,给予多次球囊扩张后放置镍钛支架。结果4例患者术后恢复良好,肺功能明显得到改善,基本生活自理。结论纤维支气管镜在肺移植患者术后的监测、治疗具有十分重要的作用。Objective To investigate the application of flexible bronchoscopy in the postoperative management of lung transplantion. Methods Four male patients with end-stage chronic obstructive pulmonary disease received examination with bronchoscope following the unilateral lung transplant for management of airway complications. One patient developed stenosis at tracheal anastomosis 2 months after transplantion and underwent balloon dilatation and endobronchial metallic stent placement. Results The 4 patients showed good recovery after transplantation with obviously improved pulmonary function and quality of life. Conclusion Flexible bronchoscopy provides a valuable means for postoperative management of lung transplantation.

关 键 词：肺移植 纤维支气管镜 监测 

分 类 号：R655.3[医药卫生—外科学]