纤维支气管镜在肺不张诊断与治疗中的意义  

Significance of Fiberoptic Bronchoscopy in Diagnosis and Treatment of Pulmonary Atelectasis

作　　者：黄玉晖[1,2] 谭辉[1,2] 李炽观[1,2] 朱大庆[1,2] 何炳文[1,2] 

机构地区：[1]湖南郴州市第一人民医院呼吸内科,湖南郴州423000 [2]南方医科大学附属郴州医院,湖南郴州423000

出　　处：《现代生物医学进展》2010年第13期2521-2523,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨纤维支气管镜(纤支镜)在肺不张的诊断及治疗中的意义。方法:对经X线、CT诊断为肺不张的67例患者行纤支镜检查和治疗。结果:纤支镜病因诊断符合率为98.5%。其中肺癌38例(56.7%),炎症19例(28.4%),结核9例(13.4%),异物阻塞1例(1.5%)。病变部位以右上叶16例最多(23.9%),接着依次为右肺下叶(19.4%),右肺中叶(17.9%)。对肺不张患者经纤支镜吸痰、灌洗、局部给药、取出异物等治疗后,患者症状均有不同程度的改善,且炎症、结核、异物所致的肺不张肺叶均有不同程度复张,呼吸功能改善。结论:纤支镜对肺不张的诊断及治疗具有重要意义,且经纤支镜辅助治疗可促进肺复张。Objective：To explore the clinical significance of fiberoptic bronchoscope（bronchoscopy） on the diagnosis and treatment of atelectasis.Methods：67 cases of atelectasis diagnosed by X ray and CT were observed and treated by fiberoptic bronchoscope.Results：38 of the 67 cases were diagnosed as lung cancer（56.7%）,inflammation in 19 cases（28.4%）,tuberculosis in 9 cases（13.4%）,foreign body（1.5%）,and diagnosis rate was 98.5%.The overriding diseased region was the superior lobe of right lung（23.9%）,then the lower lobe（19.4%） and the middle lobe（17.9%）.Clinical symptoms and signs changed significantly after suction,lavage and local injection by bronchoscope.And the cases of lung atelectasis resulted from inflammation,tuberculosis and foreign body showed recruitment maneuvers by imaging examination.Conclusion：Bronchoscopy plays a significant role in the diagnosis and treatment of atelectasis,and it can promote recruitment maneuvers.

关 键 词：肺不张 纤维支气管镜 治疗 病因诊断 

分 类 号：R563.4[医药卫生—呼吸系统]