支架置入治疗中央气管严重堵塞的临床研究  

Severe central airway obstruction treated with stents

作　　者：周玮[1] 谭海[1] 张淑香[1] 张晖[1] 

机构地区：[1]宁夏医科大学附属医院呼吸内科,宁夏银川750004

出　　处：《中国内镜杂志》2011年第5期525-527,共3页China Journal of Endoscopy

摘　　要：目的回顾性研究自扩张金属支架(SEMS)在中央气道严重堵塞所致严重呼吸困难(SRD)的疗效。方法经电子支气管镜直视局麻下在中央气道严重狭窄的32例呼吸窘迫患者置入自扩张镍钛合金金属支架。结果 32例患者均为中央气道堵塞(CAO)直径>90%的患者,主气管堵塞19例,气管并一侧主支气管堵塞9例,气管并两侧主支气管堵塞2例,隆突外压两侧主支气管堵塞2例。所有患者均1次成功置入支架,置入支架1～3个,所有患者的呼吸困难均当即缓解。仅1例由于隆突部位外压严重,支架略向上发生移位约1cm,未影响支架疗效。持续改善时间128d(52～785d)。结论经支气管镜置入支架治疗可以快速有效的缓解中央气道严重狭窄所致的严重呼吸困难。[Objective] The efficacy of self-expandable metallic stents (SEMS) for severe respiratory distress (SRD) in patients with central airway obstruction (CAO) was retrospectively reviewed. [Methods] Insertion of SEMS in central airway for severe respiratory distress (SRD) in 32 cases with CAO by electronic bronchoscope. [Results] Operations of 32 cases were successful and without any severe complications. One to three stents were inserted every cases. Stents shifting was found in only one cases. Severe respiratory distress was relieved immediately in all 32 cases. [Conclusion] Insertion of SEMS can relief severe respiratory distress caused by central airway obstruction efficiently and immediately.

关 键 词：自扩张金属支架 中央气道堵塞 严重呼吸困难 

分 类 号：R562[医药卫生—呼吸系统]