全麻状态下全肺灌洗术治疗18例肺泡蛋白沉着症的临床分析  

The Clinical Analysis of the Whole Lung Lavage Surgical Treatment of 18 Cases of Pulmonary Alveolar Proteinosis Under General Anesthesia State

作　　者：倪晓辉[1] 焦洋[2] 朱萍[1] 刘云杰[1] 

机构地区：[1]江苏省南通市第二人民医院呼吸内科,226002 [2]上海市长海医院呼吸内科

出　　处：《医学理论与实践》2013年第2期150-151,共2页The Journal of Medical Theory and Practice

摘　　要：目的:观察全麻状态下全肺灌洗术治疗肺泡蛋白沉着症的疗效。方法:对18例诊断明确的肺泡蛋白沉着症患者行全麻下单侧肺灌洗术,以临床症状严重程度、肺功能和动脉血气分析为观察对象,比较患者治疗前、后的各项指标。结果:18例肺泡蛋白沉着症患者全肺灌洗术后,临床症状、肺功能及动脉血气分析结果较术前显著改善,二者差异有统计学意义(P<0.05)。结论:通过全肺灌洗术,患者病情在短期内得到显著改善,全麻状态下全肺灌洗术是肺泡蛋白沉着症有效的治疗方法。Objective：To observe the efficacy of the whole lung lavage for pulmonary alveolar proteinosis under general anesthesia.Methods：18 cases of pulmonary alveolar proteinosis underwent unilateral lung lavage under general anesthesia state.These indexes such as： severity of clinical symptoms,pulmonary function,and arterial blood gas analysis were analyzed before and after the treatment.Results：After treatment of lung lavage,the eighteen patients＇ assessed indexes（clinical symptoms,lung function and the results of arterial blood gas analysis） were all significantly improved than those before the lung lavage,the difference was of statistical significance（P0.05）.Conclusion：By the whole lung lavage,the patients＇condition were improved significantly in the short term.The treatment of whole lung lavage under general anesthesia is an effective method for pulmonary alveolar proteinosis.

关 键 词：肺泡蛋白沉着症 全身麻醉 全肺灌洗术 

分 类 号：R563[医药卫生—呼吸系统]