论文部分内容阅读
患者男,40岁。1个月前因咳嗽、咳黄痰,在当地医院诊为左侧肺炎,经抗炎治疗症状缓解。本次又因咳嗽、咳脓臭痰伴发热10天于1998年9月25日入院。患者及其母均未忆起有异物吸入史。体检:T38℃,P84次/分,R20次/分,BP14.7/10kPa。精神不振,左肺中、下部叩浊音,呼吸音减低,有少许湿罗音。血象:WBC12.0×10~9/L,N0.85,L0.15。X线胸片示:左肺中、下野大片高密度影,边缘不清,密度不均。诊断:左侧肺炎。给予抗感染等治疗,症状有所减轻。为加强疗效,应用纤支镜行支气管冲洗治疗。当纤支镜进入左主支气管内,见大量脓性分泌物填充支气管腔,吸出后见左主支气管下段近分叉处有
Male patient, 40 years old. 1 month ago due to cough, cough yellow sputum, diagnosed at the local hospital as the left pneumonia, anti-inflammatory treatment of symptoms remission. This time because of cough, purgative phlegm with fever 10 days in 1998 September 25 admission. None of the patients and their parents had any history of foreign body aspiration. Physical examination: T38 ℃, P84 times / min, R20 beats / min, BP14.7 / 10kPa. Insanity, the left lung, the lower knock percussion, reduced breath sounds, a little wet rales. Blood: WBC12.0 × 10 ~ 9 / L, N0.85, L0.15. X-ray showed: the left lung, the next field of large high-density film, the edge is unclear, uneven density. Diagnosis: Left pneumonia. Give anti-infection treatment, the symptoms have eased. In order to strengthen the curative effect, apply bronchoscope bronchial flushing treatment. When the bronchoscope into the left main bronchus, see a large number of purulent secretions fill the bronchial lumen, sucked out see the main bronchial lower branch near the next