CAJ | 학술논문

目的探讨经纤维支气管镜局部灌洗注药治疗结核性支气管扩张的临床疗效.方法本组43例结核性支气管扩张患者除常规抗感染或规范抗结核治疗外,配合使用纤维支气管镜进行气道内灌洗和注药,观察患者应用纤维支气管镜治疗前、后的临床表现、实验室检查及胸部X线改变.结果全身用药加局部灌洗注药治疗后,患者体温下降,咳嗽、咳痰及咯血明显减少,外周血白细胞数降低,胸部X线示结核及支气管扩张感染等病灶明显改善.治疗有效率达97.67％.结论经纤维支气管镜局部灌洗注药能有效清除气道内痰栓、小血块及分泌物,解除支气管阻塞,改善肺功能,较好地控制感染,并使活动性肺结核患者传染性减低,提高痰结核菌检查的阴转率,是一项安全、迅速、疗效确切的治疗结核性支气管扩张的有效措施.
목적 탐토경섬유지기관경국부관세주약치료결핵성지기관확장적림상료효.방법 본조43례결핵성지기관확장환자제상규항감염혹규범항결핵치료외,배합사용섬유지기관경진행기도내관세화주약,관찰환자응용섬유지기관경치료전、후적림상표현、실험실검사급흉부X선개변.결과 전신용약가국부관세주약치료후,환자체온하강,해수、해담급각혈명현감소,외주혈백세포수강저,흉부X선시결핵급지기관확장감염등병조명현개선.치료유효솔체97.67％.결론 경섬유지기관경국부관세주약능유효청제기도내담전、소혈괴급분비물,해제지기관조새,개선폐공능,교호지공제감염,병사활동성폐결핵환자전염성감저,제고담결핵균검사적음전솔,시일항안전、신속、료효학절적치료결핵성지기관확장적유효조시.
Objective To explore the clinical efficacy of local bronchofiberscopic lavage and medical injections for tuberculous bronchiectasis.Methods 43 patients with tuberculous bronchiectasis received bronchofiberscopic lavage and medical injections in addition to conventional anti-infection treatment and standard antituberculosis therapy.The clinical manifestations,laboratory findings,and chest X-ray features were observed before and after the bronchofiberscopic treatment.Results After administration of general and local medications,body temperature was declined; cough,expectoration,and hemoptysis were markedly decreased; peripheral leukocyte count was lowered; and tuberculous lesions and infection lesions of bronchiectasis were obviously improved on X-ray examinations.The treatment-effective rate is 97.67％.Conclusions Local bronchofiberscopic lavage and medical injections can effectively clear intra-airway sputum bolts,smaller clots,and secretions,resulting in relief of bronchial obstruction,improvement in lung function,reduced infectivity in patients with active pulmonary tuberculosis,and an increased reversion rate of tubercule bacillus in sputum.It is a safe,rapid,effective approach for tuberculous bronchiectasis.