吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
12期
2576-2577
,共2页
肺癌%术后%肺不张%积液%纤维支气管镜
肺癌%術後%肺不張%積液%纖維支氣管鏡
폐암%술후%폐불장%적액%섬유지기관경
Lung cancer%Postoperative%Atelectasis%Effusion%Fiber bronchoscope
目的：总结分析肺癌术后肺不张的诊断及治疗体会。方法：对31例肺癌术后肺不张患者的诊断及治疗体会进行治疗。方法：包括纤维支气管镜吸痰、沐舒坦雾化吸入，对抗感染、祛痰、化痰等进行治疗。让患者多咯痰，吹气球、深呼吸。对胸腔积液相对较多的患者，行胸腔穿刺或放引流管，吸取积液。结果：31例肺癌术后肺不张患者的肺叶均得到了良好的膨胀，肺叶复张率为100%。肺叶完全复张时间5 h～4 d，平均（1.2±0.5）d。有1例患者发生肺部感染，经对症治疗后痊愈。结论：通过及时的诊断和有效的治疗，患者肺部组织可以得到足够的膨胀，扩充了通气量，改善了患者的病情并顺利度过围手术期。
目的：總結分析肺癌術後肺不張的診斷及治療體會。方法：對31例肺癌術後肺不張患者的診斷及治療體會進行治療。方法：包括纖維支氣管鏡吸痰、沐舒坦霧化吸入，對抗感染、祛痰、化痰等進行治療。讓患者多咯痰，吹氣毬、深呼吸。對胸腔積液相對較多的患者，行胸腔穿刺或放引流管，吸取積液。結果：31例肺癌術後肺不張患者的肺葉均得到瞭良好的膨脹，肺葉複張率為100%。肺葉完全複張時間5 h～4 d，平均（1.2±0.5）d。有1例患者髮生肺部感染，經對癥治療後痊愈。結論：通過及時的診斷和有效的治療，患者肺部組織可以得到足夠的膨脹，擴充瞭通氣量，改善瞭患者的病情併順利度過圍手術期。
목적：총결분석폐암술후폐불장적진단급치료체회。방법：대31례폐암술후폐불장환자적진단급치료체회진행치료。방법：포괄섬유지기관경흡담、목서탄무화흡입，대항감염、거담、화담등진행치료。양환자다각담，취기구、심호흡。대흉강적액상대교다적환자，행흉강천자혹방인류관，흡취적액。결과：31례폐암술후폐불장환자적폐협균득도료량호적팽창，폐협복장솔위100%。폐협완전복장시간5 h～4 d，평균（1.2±0.5）d。유1례환자발생폐부감염，경대증치료후전유。결론：통과급시적진단화유효적치료，환자폐부조직가이득도족구적팽창，확충료통기량，개선료환자적병정병순리도과위수술기。
Objective To summarize the diagnosis and treatment of atelectasis after lung cancer.Methods 31 patients of lung cancer with postoperative pulmonary atelectasis were brought into study,and the diagnosis and treatment experience were analyzed.We used fiber bronchoscopic suctioning,ambroxol atomization inhalation treatment,active treatment of resistance to infection,eliminating phlegm,phlegm and other symptomatic treatment.We encourage patients to sputum,deep breathing,and balloon blowing exercise.The patients with a large amount of pleural effusion had drainage or thorax puncture,and drew out of effusion.Results 31 cases of lung cancer patients with pulmonary atelectasis had a good expansion in lobe,and the lobar reexpansion rate was 100%.The complete expansion time of Lobectomy was 5 h~4 d,with the average value of (1.2±0.5)d.There are 1 cases with pulmonary infection,who recovered after treatment.Conclusion Through timely diagnosis and effective treatment,pulmonary tissue of patients can be obtained with enough expansion,the ventilation are expanded.The patient's condition are improved and they passed through operation period favourably.
