CAJ | 학술논문

目的观察小儿纤维支气管镜对提高尘肺大容量全肺灌洗(whole-lung lavage,WLL)安全性的应用价值.方法 2006年5月至2010年5月应用小儿纤维支气管镜辅助插管定位的患者为纤维支气管镜组(104例次),1998年5月至2004年11月应用传统的听诊法导管定位的患者为对照组(376例次),比较两组在WLL中的不良反应及并发症.结果纤维支气管镜组发生漏液1例(0.96％),低氧血症3例(2.88％)和肺内残余液＞1000 ml 15例(14.42％),对照组发生漏液24例(6.38％),低氧血症42例(11.17％)和肺内残余液＞1000ml 135例(35.90％),两组比较,差异均有统计学意义(P＜0.05,p＜0.01).结论 WLL中应用小儿纤维支气管镜探查,能保证双腔管对位准确,两肺分隔完全,明显减少并发症,提高WLL的安全性.
목적 관찰소인섬유지기관경대제고진폐대용량전폐관세(whole-lung lavage,WLL)안전성적응용개치.방법 2006년5월지2010년5월응용소인섬유지기관경보조삽관정위적환자위섬유지기관경조(104례차),1998년5월지2004년11월응용전통적은진법도관정위적환자위대조조(376례차),비교량조재WLL중적불량반응급병발증.결과 섬유지기관경조발생루액1례(0.96％),저양혈증3례(2.88％)화폐내잔여액＞1000 ml 15례(14.42％),대조조발생루액24례(6.38％),저양혈증42례(11.17％)화폐내잔여액＞1000ml 135례(35.90％),량조비교,차이균유통계학의의(P＜0.05,p＜0.01).결론 WLL중응용소인섬유지기관경탐사,능보증쌍강관대위준학,량폐분격완전,명현감소병발증,제고WLL적안전성.
Objective To explore the effect of children-sized fibreoptic bronchoscope in improving the safety of whole-lung lavage (WLL).Method Patients from May 2006 to May 2010 using children-sized fibreoptic bronchoscope to assistant the location were assigned to fibreoptic bronchoscope group.Patients from May 1998 to Nov 2004 using traditional stethoscopy to help intubation were assigned to control group.The adverse reactions and complications were compared.Result There were liquid leakage 1 case (0.96％),hypoxia 3cases (2.88％) and liquid retained over 1000 ml 15 cases (14.42％) in fibreoptic bronchoscope group.In contrast,liquid leakage 24 cases (6.38％),hypoxia 42 cases (11.17％) and liquid retained over 1000 ml 135 cases (35.90％) happened in control group.The differences between the two groups were significant (P＜0.05,P＜0.01 ).Conclusion Using children-sized fibreoptic bronchoscope in WLL can promote the situation of double-lumen tube,help separation the two lungs,decrease complications and improving safety.