节点文献

全肺灌洗术中纤维支气管镜检查的应用价值

Application value of fibrobronchoscope test in process of whole lung lavage

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 陈杰黄河李洪杜智勇杨天德

【Author】 Chen Jie;Huang He;Li Hong;Du Zhiyong;Yang Tiande;Department of Anesthesiology,Xinqiao Hospital,Third Military Medical University;

【机构】 第三军医大学新桥医院麻醉科

【摘要】 目的总结分析41例全肺灌洗术中双腔支气管导管插管的临床经验。方法回顾性分析2010年2月至2015年2月在该院行大容量全肺灌洗术患者41例,对双腔支气管插管后使用听诊定位法与纤维支气管镜定位法进行探讨。结果 41例患者利用听诊定位等辅助定位成功39例,2例患者反复听诊定位无法进行双肺隔离,改用纤维支气管镜定位成功。其中使用纤维支气管镜检查后调整导管深度19例,调整后均隔离良好,灌洗顺利。结论全肺灌洗术成功的前提在于双腔支气管导管选择及精确定位。纤维支气管镜直视定位已成为双腔支气管导管定位的金标准。

【Abstract】 Objective To analyze the clinical experience of double lumen endobronchial tube intubation in 41 cases of whole lung lavage.Methods Forty-one patients with whole lung lavage in our hospital from February 2010 to February 2015 were retrospectively analyzed.The effect of bronchoscopy and auscultation location method were explored after double-lumen endobronchial intubation in whole-lung lavage.Results Among 41 cases,39cases were successfully located by using the auscultation location,and other 2cases were successfully positioned by using the bronchoscopy position after repeatedly auscultation location method resulting in lung isolation failure.The catheter depth in 19 cases was adjusted after using bronchoscopy,and then double lung was isolated well and lavage was successfully conducted.Conclusion The prerequisite for success of whole lung lavage is accurate position of double-lumen endobronchial tube.Bronchoscopy look positioning has become the gold standard of double-lumen endobronchial tube position.

  • 【文献出处】 重庆医学 ,Chongqing Medicine , 编辑部邮箱 ,2016年20期
  • 【分类号】R614
  • 【被引频次】2
  • 【下载频次】44
节点文献中: 

本文链接的文献网络图示:

本文的引文网络