纤维支气管镜检查出血并发症的临床回顾与分析  

Clinical Retrospective Analysis on the Cases Complicated with Hemorrhage by Fiber Bronchoscopy

作　　者：朱为禄[1] 黎光强[1] 胡华胜[1] 唐新[1] 林琳[1] ZHU Weilu;LI Guangqiang;HU Huasheng;TANG Xin;LIN Lin

机构地区：[1]中国人民解放军181医院,广西桂林541002

出　　处：《现代医院》2018年第4期590-592,595,共4页Modern Hospitals

摘　　要：目的回顾分析纤维支气管镜(纤支镜)检查并发出血的临床特点,为今后防治出血并发症提供临床经验。方法收集2013年1月-2016年12月中国人民解放军181医院行纤支镜检查的1326例患者的临床资料,总结并分析其并发出血患者的临床特征。结果 1 326例纤支镜操作患者中并发出血者32例(2.41%),其中少量出血19例(1.43%)、中量出血8例(0.60%),大量出血5例(0.38%),无1例死亡;并发出血的原发病主要是肺癌,其次为肺结核、肺炎;并发出血的诊疗操作依次为支气管腔内病灶活检、经支气管镜透壁肺活检、支气管黏膜刷检。结论纤支镜检查应在术前充分评估病情,对高危患者做好术前准备,掌握熟练的操作及正确的处理措施能有效降低出血的发生率和死亡率。Objective To analyze the clinical characteristics of patients complicated with hemorrhage by means of fiber bronchoscopy,and provide experiences for the prevention and therapy to hemorrhage. Methods The clinical data of1326 patients undergoing bronchoscopic examination were collected in the 181st Hospital of Chinese People＇s Liberation Army from January 2013 to December 2016,and the characteristics of patients complicated with hemorrhage were explored. Results Of all the cases 32（ 2. 41 %） were complicated with hemorrhage,19（ 1. 43 %） with small amout of hemorrhage,8（ 0. 60%） with moderate hemorrhage and 5（ 0. 38%） with hemorrhea. There was no death case. The main primary disease complicated with hemorrhage was lung cancer,following by tuberculosis and pneumonia. Hemorrhage was mainly caused by the endobronchial lesions of biopsy,transbronchial lung biopsy,and endobronchial lesions of brush. Conclusion The incidence and mortality of hemorrhage during the operation can be reduced by strict mastery of the operative indication and contraindication,the total evaluation of the patients＇ condition,consummate preparation and skill,definitive medical aid in case of hemorrhages.

关 键 词：纤维支气管镜 并发症 出血 临床回顾 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]