气管内置管注药治疗局限性异物性支气管肉芽肿  

TREATMENT OF LIMITED BRONCHUS GRANULOMA CAUSED BY FOREIGN BODY WITH MEDICATION IN TRACHEA

作　　者：赖国祥[1] 陈学香[1] 赖红斌[1] 柳德灵[1] 林庆安[1] 王卫红[1] 王爱民[1] 

机构地区：[1]南京军区福州总医院

出　　处：《解放军医学杂志》2002年第8期730-731,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：为评价气管内置管注药治疗局限性异物性支气管肉芽肿的临床疗效 ,对 2 6例局限性异物性支气管肉芽肿患者在纤维支气管镜 (纤支镜 )介入下气管内留置 6F导管 ,每日经导管分 2次注入 2 %利多卡因 5ml+无菌生理盐水 10ml+地塞米松 5mg +抗生素 (阿米卡星 0 2g或头孢三嗪 1 0g) ,治愈 2 5例 ,手术 1例 ,治愈率 96 2 % ,疗程 6～ 15天。 2 9例按常规静脉抗炎治疗加雾化吸入或隔日纤支镜下注药治疗 ,治愈 2 4例 ,手术 5例 ,治愈率 82 8% ,疗程 6～32天。结果表明 ,气管内置管注药治疗局限性异物性支气管肉芽肿 ,具有局部抗炎效果好、减少静脉应用抗生素剂量和毒副作用、缩短病程以及患者能够耐受等优点 。To evaluate the clinical therapeutic effect of limited bronchus granuloma caused by foreign body with medication in trachea, 6F tube was put in sick trachea under fibrobronchoscopy in 26 patients with bronchus granuloma due to foreign body, and 5ml of 2% lidocaine + 10ml of sterile Saline + 5mg dexamethasone +antibiotics (Amikacin0 2g or ceftriazone1 0g) were injected into sick trachea through 6F tube twice a day. 25 were cured, the cure rate was 96 2%,and the other one had to be operated; the course was 6～15d. Other 29 patients were treated with routine antibiotics intravenation+aerosol inhalation or medication in trachea under fibrobronchoscopy every other day, and 24 were cured, the cure rate was 82 8%; the other 5 had to be operated, the course was 6～32d. It is suggested that the former method has good effect in local anti inflammation, and can decrease the intravenous antibiotics dosage and side effect.

关 键 词：局物性异物性支气管肉芽肿 纤维支气管镜 气管内留置导管 治疗 

分 类 号：R655.3[医药卫生—外科学]