纤维支气管镜检查对肺不张病因的诊断和治疗作用  

Clinical value of fiberoptic bronchoscopy in the diagnosis and therapy of the atelectasis

作　　者：杨艳娟[1] 程德云[2] 郑西卫[1] 崔丽萍[1] 

机构地区：[1]宁夏医科大学附属医院呼吸科,宁夏银川75004 [2]四川大学华西医院呼吸科,四川成都610041

出　　处：《中国内镜杂志》2010年第4期412-414,418,共4页China Journal of Endoscopy

摘　　要：目的探索引起肺不张原因,对炎症引起的肺不张经纤维支气管镜治疗后观察其疗效。方法对75例肺不张患者实施支气管镜检查确定肺不张原因,其中20例感染性肺不张患者经常规抗感染治疗基础上加用纤维支气管镜治疗,与25例常规抗感染组进行临床指标改善的比较,观察纤维支气管镜治疗的效果。结果 75例肺不张原因中,肿瘤41例(54.66%),炎症20例(26.66%),结核8例(10.66%),异物5例(6.66%),结石1例(1.33%)。20例感染性肺不张患者经常规抗感染+纤维支气管镜治疗后,其临床症状改善较对照组明显改善。结论纤维支气管镜检查对肺不张病因的诊断和感染性肺不张的治疗均具有有重要价值。【Objective】To explore the value of fiberoptic bronchoscopy in diagnosis the cause of atelectasis and treating of atelectasis due to inflammation. 【Methods】75 patients with atelectasis were examined using by fiberoptic bronchoscopy for exploring the reasons. To compare the effect of fiberoptic bronchoscopy in treating 20 patients due to inflammations with 25 patients who were only treated with anti-infections as the control group.【Results】Among 75 patients with atelectasis,etiologic causes were lung cancer （54.66%）,inflammation （26.66%）,tuberculosis （10.66%）,foreign body （6.66%） and lithiasis （1.33%）. 20 atelectasis due to inflammation who were treated by fiberoptic bronchoscopy were improved significantly in clinical symptoms compared to the control groups. 【Conclusions】Fiberoptic bronchoscopy is important in the diagnosis of atelectasis,and it is also valuable in treating atelectasis due to inflammation.

关 键 词：肺不张 纤维支气管镜检查:治疗 

分 类 号：R563.4[医药卫生—呼吸系统]