现代硬质支气管镜相关操作的安全性评估  

Safety of modern rigid bronchoscopy related therapeutic procedures

作　　者：周云春 黄海东[1] 宁允叶[1] 王琴[1] 杨宇光[3] 董宇超[1] 李强[1] 白冲[1] ZHOU Yun-chun;HUANG Hai-dong;NING Yun-ye;WANG Qin;YANG Yu-guang;DONG Yu-chao;LI Qiang;BAI Chong(Department of Respiratory and Critical Care Medicine,Changhai Hospital,Naval Medical University(Second Military Medical University),Shanghai 200433,China;Department of Respiratory and Critical Care Medicine,Yuxi People’s Hospital,Yuxi 653100,Yunnan,China;Department of Anesthesiology,Changhai Hospital,Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)长海医院呼吸与危重症医学科,上海200433 [2]玉溪市人民医院呼吸与危重症医学科,玉溪653100 [3]海军军医大学(第二军医大学)长海医院麻醉科,上海200433

出　　处：《第二军医大学学报》2019年第10期1097-1102,共6页Academic Journal of Second Military Medical University

摘　　要：目的评估现代硬质支气管镜相关操作的安全性。方法分析2014年4月至2016年4月于海军军医大学(第二军医大学)长海医院呼吸内镜中心因良恶性气管病变而接受现代硬质支气管镜操作的100例患者的资料,共进行硬质支气管镜操作124例次,统计硬质支气管镜操作的术中并发症。结果硬质支气管镜操作的术中并发症为一过性低氧血症(4.03%,5/124)、声带及周边黏膜损伤(4.84%,6/124)、暴露性角膜炎(1.61%、2/124)、气道管壁结构破坏(2.42%,3/124)、可弯曲支气管镜外皮损伤(2.42%,3/124),硬质支气管镜插入失败1例(0.81%,1/124),无术中死亡病例。结论现代硬质支气管镜是一种安全性高、并发症少的治疗技术,值得临床推广与应用。开展规范化的硬质支气管镜及相关技术培训是提高其操作安全性、降低并发症的重要环节及举措。Objective To evaluate the safety of modern rigid bronchoscopy related therapeutic procedures.Methods We retrospectively analyzed the clinical data of 100 patients with benign or malignant lesions who underwent modern rigid bronchoscopy operation between Apr.2014 to Apr.2016 at Respiratory Endoscopy Center of Changhai Hospital,Naval Medical University(Second Military Medical University).A total of 124 rigid bronchoscopy operations were performed.The intraoperative complications of rigid bronchoscopy were analyzed.Results The intraoperative complications of rigid bronchoscopy were as follows:transient hypoxemia(4.03%,5/124),injury of vocal cords and around mucosae(4.84%,6/124),exposure keratitis(1.61%,2/124),airway structural failure(2.42%,3/124),damage of electronic bronchoscope(2.42%,3/124),and insertion failure of rigid bronchoscopy(0.81%,1/124).There were no deaths during operation.Conclusion Modern rigid bronchoscopy is a treatment technique with high safety and few complications,and is worthy of clinical promotion and application.Standardized rigid bronchoscopy operation and related technique training should be carried out to improve its safety and reduce complications.

关 键 词：硬质支气管镜 硅酮支架 并发症 安全性 

分 类 号：R562[医药卫生—呼吸系统]