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find Keyword "气管镜" 110 results
  • 气管支气管异物的围手术期护理

    目的 总结支气管镜探查异物取出术围手术期护理经验。 方法 2006年-2008年,对76例气管、支气管异物患者做好术前护理,术后密切观察病情,加强体位护理,饮食护理及健康宣教。行支气管镜异物取出术。 结果 76例患者均经支气管镜顺利取出异物,无并发症发生。 结论 支气管镜探查异物取出是治疗气管、支气管异物的有效方法,高质量的护理是手术成功的重要保证。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • Analysis of Electric Bronchoscope Diagnosis Centrally Located Lung Cancer

    目的:探讨电子支气管镜在肺癌诊断中的价值。方法:对233例支气管镜下诊断肺癌的患者进行分析。结果:电子支气管镜下肺癌的诊断率为63.49%,其中中央型肺癌的诊断率为72.85%,周围型肺癌的诊断率为27.63%,该组病例以老年人多见, 肿瘤多位于叶支气管,右肺57.51%, 左肺42.49%,病理类型为鳞癌45.92%, 小细胞癌22.75%, 腺癌24.03%。电子支气管镜下主要特征:鳞癌以管内增殖型改变为主,表现为新生物形成,阻塞管腔,伴有糜烂、充血、水肿,小细胞癌以增殖型和浸润型为主,可见气管内新生物形成及节结样改变。腺癌以管内增殖型和肿块压迫管腔为主,可见管内新生物形成或支气管呈缝隙样狭窄,甚至闭塞。结论:与周围型肺癌相比电子支气管镜检查对中心型肺癌诊断的准确率较高, 其检查方法简单, 创伤性小, 是正确指导临床医生选择合理治疗方法的一种较好的辅助检查技术。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • 纤维支气管镜代胸腔镜诊断不明原因胸腔积液28例临床分析

    目的探讨纤维支气管镜代胸腔镜检查在诊断胸腔积液中的临床应用价值。 方法以我院2013年5月至2014年8月收治的不明原因胸腔积液患者28例为研究对象, 对其行纤维支气管镜代胸腔镜检查, 获取胸腔积液及病变组织行病理学检查。 结果28例患者中, 2例脓胸患者未行病理检查, 其余26例患者均行病理检查并明确诊断, 确诊率为92.86%。其中, 18例为恶性肿瘤病变, 包括腺癌10例, 鳞癌8例; 8例为肉芽肿样改变, 诊断为结核性胸腔积液, 经正规抗结核治疗胸腔积液消失。27例患者的人工气胸在术后1~3 d内完全吸收拔管, 无术中术后大出血、伤口感染以及胸腔积液新发感染等并发症发生。 结论纤维支气管镜代胸腔镜在检查胸腔积液病因中是一种安全有效、检出率高的检查方法, 值得临床大范围应用与推广。

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  • Selective Large Volume Broncholavage for Acute Exacerbation of Bronchiectasis by Bronchonscopy

    ObjectiveTo evaluate the efficacy and safety of selective large volume broncholavage by bronchonscopy in treatment of patients with acute exacerbation of bronchiectasis. MethodsA single-center randomized control,non-blind clinical trial was conducted.A total of 65 patients were randomly divided into Group A(large volume broncholavage group,n=21),Group B (mini- large volume broncholavage group,n=22) and Group C (control group,n=22).All patients received routine therapy of acute exacerbation of bronchiectasis while additional broncholavage was administered in the treatment groups for only once.Warm normal saline solution was instilled for Group A at volume of 500 to 2 000 mL and for Group B at volume of 100 to 200 mL.The baseline characteristics,Simplified Clinical Pulmonary Infection Score(CPIS) and C-reactive protein (CRP) were recorded at the first and on 7th day.The duration of antibiotic use,the length of hospital stay and total effective rate were compared among three groups. ResultsThe lavage volume was (1 250.0±403.3)mL for Group A and (141.0±41.2)mL for Group B.The length of hospital stay and duration of antibiotic use were (8.4±1.0)d and (7.9±1.1)d respectively,shorter than those in Group B[(13.5±1.6)d,(11.6±2.4)d] and Group C[(15.3±3.2)d,(13.3±2.6)d] with significant difference between three groups(all P<0.05).The total effective rates was 95.23% in Group A,higher than those in Group B (81.82%) and Group C (68.19%)(all P<0.05).The CPIS on the 7th day of Group A was 1.9±1.4,lower than that in Group B (2.7±0.8) and Group C (3.7±0.9)(P<0.05).The CRP of Group A decreased more quickly than Group B and Group C.The adverse events occurred in Group A and Group B including transient hypoxemia (23.81%,9.09%, respectively),tarchycardia(100%,68.18%, respectively),airway mucosal injury(38.09%,13.64%, respectively) and elevated blood pressure (19.05%,13.64%, respectively). ConclusionSelective large volume broncholavage through bronchonscopy is an effective and safe treatment for patients with acute exacerbation or bronchiectasis.

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  • Comparative Study of Recruitment Maneuver in Mechanically Ventilated Patients after Fibrobronchoscopy

    ObjectiveTo investigate the effect of recruitment maneuver (RM) following fibrobronchoscopy in invasively mechanically ventilated (IMV) patients with excessive airway secretions or foreign body aspiration. MethodsFrom September 2012 to July 2014, 200 eligible patients were randomly assigned to intervention group (n=100) and control group (n=100) . Airway clearance by fibrobronchoscopy was conducted in both the two groups, but RM was subsequently performed only in the intervention group. Outcome measurements included oxygenation index, partial pressure of carbon dioxide (PaCO2), heart rate (HR), air way resistance (Raw) and dynamic lung compliance (Cdyn) before and 2 hours after treatment, and duration of IMV and Intensive Care Unit (ICU) stay were also analyzed. ResultsAfter treatment with fibrobronchoscopy, oxygenation index [intervention vs. control: (291.14±38.49) vs. (241.39± 35.62) mm Hg (1 mm Hg=0.133 kPa)], PaCO2 [(41.65±7.73) vs. (38.87±7.97) mm Hg] and Cdyn [(48.94±11.21) vs. (39.59±10.98) mL/cm H2O (1 cm H2O=0.098 kPa) ] were significantly increased, while HR [(95.41±20.59) , vs. (106.47±19.11) beats/min] and Raw [(17.87±8.32) vs. (23.98±7.88) cm H2O/(L·s)] were significantly decreased in both groups (P < 0.01) . Duration of IMV and ICU stay in the intervention group were (15.72±6.42) and (19.85±8.12) days respectively, while in the control group were (20.49±7.21) and (27.87±10.33) days. Compared with the control group, patients in the intervention group had lower Raw, duration of IMV and ICU stay, and higher Cdyn, oxygenation index, and PaCO2 (P < 0.01) , but no significant difference was found in HR (P > 0.05) . ConclusionIn mechanically ventilated patients with excessive airway secretion or foreign body aspiration, recruitment maneuver following fibrobronchoscopy is of great clinical importance, due to the decrease of the duration of mechanical ventilation and ICU stay by re-inflating the collapsing alveoli, improving pulmonary ventilation and gas exchange, lung compliance and diffusion capacity.

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  • 气管镜下覆膜内支架置入治疗胸腔胃-气道瘘

    目的 探讨气管镜下覆膜内支架置入治疗胸腔胃-气道瘘的可行性与疗效。 方法 根据胸腔胃-气道瘘口的位置、大小、数目选择内支架,气管镜直视下,对5例患者6处瘘在气管内置入6枚气管覆膜内支架封堵瘘口。结果 5例内支架均置入成功,瘘口完全封闭,即刻消除呛咳症状;5例均被有效控制肺部感染,生活质量提高;1例支架置入2个月后呼吸衰竭死亡。随访5~15个月,3例死于恶病质,1例死于呼吸衰竭,1例正常生活至今。 结论 气管覆膜内支架能有效封堵胸腔胃-气道瘘,操作简单、安全、近期疗效可靠。

    Release date:2016-08-30 06:09 Export PDF Favorites Scan
  • The Clinical Application of Bronchoalveolar Lavage by Way of Fibrobronchoscopy on Patients with Pulmonary Infection

    目的:探讨纤维支气管镜(简称纤支镜)肺泡灌洗术在治疗肺部感染性疾病的疗效。方法:共从内科系统中入选社区获得性肺炎和医院获得性肺炎患者122例,将其分为二组,治疗组:传统治疗加纤支镜肺泡灌洗术治疗肺部感染,共52例;对照组:传统方法治疗肺部感染,共70例。结果:两组病例在发热时间,咳嗽,咳痰及肺部罗音消失时间,住院日,抗生素使用时间,治愈率和死亡率方面对比均有显著性差异(Plt;0.05)。结论:纤支镜肺泡灌洗术在治疗肺部感染性疾病的疗效确切,且术中危险性小,值得推广。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • The value of flexible bronchoscopy in the preoperative workup of patients with solitary pulmonary nodules

    Objective To evaluate the diagnostic value and utility of flexible bronchoscopy in the preoperative assessment in patients with solitary pulmonary nodules (SPNs). Methods A total of 111 patients with SPNs of unknown origin treated between January and June 2016 were retrospectively enrolled. The clinical characteristics, bronchoscopy findings and surgical strategies were collected. Results In the total 111 cases, malignant and benign SPNs were 79 and 32 cases, respectively. The mean diameter of malignant SPNs was larger than that of benign SPNs [(2.04±0.58) vs. (1.70±0.75) cm, P<0.05]. Bronchoscopy identified 9 cases (8.1%) unsuspected findings. Surgeries were modified or cancelled in 3 patients (2.7%) because of bronchoscopy findings. Transbronchoscopy biopsies were performed in 26 patients, 9 of whom were diagnosed lung cancer preoperatively, with a sensitivity of 45% (9/20) and a specificity of 100% (6/6). Conclusions Flexible bronchoscopy can be contributed to diagnosis of SPN before surgery and determination of surgical strategies. It is suggested that flexible bronchoscopy could be included in the routine preoperative work-up of SPN.

    Release date:2018-01-23 02:34 Export PDF Favorites Scan
  • Application and development of electromagnetic navigation bronchoscopy in the view of artificial intelligence

    The coming out of electromagnetic navigation bronchoscopy gives exciting solution for diagnosis and even treatment of peripheral pulmonary nodules. It breaks the barriers of traditional bronchoscopy, and gives live visible imaging guidance for operators during biopsy of peripheral pulmonary nodules. The electromagnetic navigation bronchoscopy system can intelligently recognize and reconstruct the bronchial tree of the patients, and generate visible data and virtual guidance for the operators. It can perceive real-time magnetic localization of the signal, so as to precisely guide the navigational or biopsy tools. This review introduced the artificial intelligence configuration of the electromagnetic navigation bronchoscopy system based on the Veran system, and gave some improvement advices based on the defects of the system. In this way, we hope to promote the development and better clinical application of electromagnetic navigation bronchoscopy system.

    Release date:2022-01-21 01:31 Export PDF Favorites Scan
  • 硬质气管镜下放置支架治疗大气道阻塞性疾病

    摘要: 目的 为治疗大气道内阻塞性疾病,探讨现代硬质气管镜下气管支架技术的价值。 方法 2002年9月至2008年5月,对7例大气道阻塞性疾病患者在硬质气管镜下放置气管支架,其中良性病变1例,为右主支气管外伤后瘢痕狭窄;恶性病变6例,包括食管癌术后气道狭窄4例,原发性气管肿瘤1例,气管肿瘤术后气道狭窄1例。静脉全身麻醉,不插管,仰卧位,经口置入硬质气管镜,喷射通气。首先对气道进行全面的检查和评估,将气道内病变清除或直接扩张气道,直视下利用施放器放置支架;术后不需要辅以机械通气。 结果 共放置支架7枚,每例患者1枚,包括气管支架3枚,左主支气管3枚,右主支气管1枚。手术顺利,无严重并发症及围手术期死亡。失访1例,随访6例,随访41.4±20.5个月;5例恶性疾病患者中有1例于术后1个月因心脏病猝死,4例术后平均生存14.7个月;1例良性疾病患者术后1个月因刺激性咳嗽将支架取出,随访27个月未再出现气道狭窄。 结论 硬质气管镜下放置支架治疗大气道内阻塞性疾病安全、可靠,操作简单,值得临床推广。

    Release date:2016-08-30 06:01 Export PDF Favorites Scan
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