电子支气管镜治疗手术后急性肺不张临床研究  

Clinical study of electronic bronchoscope in the treatment of patients with acute post-operative atelectasis

作　　者：王永[1] 韩淑艳[1] 夏友录[2] 

机构地区：[1]新沂市铁路医院呼吸科,江苏新沂221400 [2]徐州市肿瘤医院胸外科,江苏徐州221000

出　　处：《临床肺科杂志》2013年第3期511-514,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的观察电子支气管镜(EBS)治疗手术后急性肺不张的临床疗效。方法治疗组28例,通过运用局部支气管冲洗、吸取和清除气道内分泌物、痰痂、血块,钳取坏死组织,清除呼吸道阻塞物。对照组30例,行气管切开经导管吸除阻塞物。结果治疗组总有效率为96.4%(27/28),对照组为93.3%(28/30),两组比较(P>0.05)。治疗组治疗后心率、呼吸频率下降,住院天数缩短,优于对照组(P<0.01)。治疗组治疗后血气指标较治疗前好转(P<0.01)。结论 EBS治疗术后急性肺不张具有操作简单、创伤小、疗效确切、安全性高等优点,可以避免气管切开,是一种有效且安全的治疗方法。Objective To observe the clinical efficacy of electronic bronchoscope （EBS） in the treatment of patients with acute post-operative atelectasis. Methods 58 patients were randomly divided into two groups. The treatment group （28 cases） were treated with partial irrigation of bronchus, suction and clearance of airway secretions, sputum, blood clots, and clamp of necrotic tissue. The con- trol group （30 cases） were given the incision of trachea catheter suction obstruction. Results The total effective rates was 96. 4% （27/ 28） and 93.3% （28/30） respectively in the treatment group and in the control group （P 〉 0. 05 ）. The improvement of heart rate, breathing frequency, duration of hospital stay was more pronounced in the treatment group than in the control group （ P 〈 0. 01 ）. The blood gas indexes were better after the treatment than before （ P 〈 0. 01 ）. Conclusion EBS has the advantages of easy control, mini trauma, favorable effect and high safety in the treatment of patients with acute post-operative atelectasis. Besides, it can avoid the traehe- otomv. Therefore. it is an effective and safe treatment.

关 键 词：电子支气管镜 急性肺不张 治疗 临床研究 

分 类 号：R563.4[医药卫生—呼吸系统] R619[医药卫生—内科学]