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目的 :探讨纤维支气管镜在吸入性损伤诊断和治疗中的作用。方法 :运用纤维支气管镜对吸入性损伤进行诊断 ,病情分类 ,清除气道坏死组织及分泌物 ,局部止血 ,预测病情发展 ,制定治疗措施 ,评价治疗效果。结果 :45例吸入性损伤患者中 ,轻度吸入性损伤 30例 ,无一例因气管堵塞而行气管切开术 ;中度吸入性损伤 9例 ,其中 4例死于呼吸衰竭 ;重度吸入性损伤 6例 ,3例死于败血症、多脏器衰竭。结论 :纤维支气管镜对吸入性损伤诊断准确 ,能有效地清除气道分泌物 ,局部止血彻底 ,可准确预测病情发展。
Objective: To investigate the role of fiberoptic bronchoscopy in the diagnosis and treatment of inhalation injury. Methods: The bronchoscope was used to diagnose the inhalation injury, the disease classification, the removal of airway necrosis tissue and secretions, local hemostasis, prediction of disease development, the development of treatment measures to evaluate the therapeutic effect. Results: Of the 45 patients with inhalation injury, 30 were mild inhalation injury and none were tracheotomy due to tracheal obstruction. Nine patients had moderate inhalation injury, of which 4 died of respiratory failure. Severe inhalation injury 6 cases, 3 died of sepsis, multiple organ failure. Conclusion: Fiberoptic bronchoscopy is an accurate diagnostic method for inhalation injury, which can effectively remove the airway secretions, complete local hemostasis, and accurately predict the progression of the disease.