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笔者于1999年1月至2004年12月通过床边纤支镜下吸痰灌洗抢救治疗危重症患者共19例,现总结报道如下。1 临床资料1.1 一般资料 19例皆为痰雍积于气道无力咯出或意识障碍咳嗽反射弱、吸入性肺不张、大咯血致呼吸衰竭、严重低氧血症而在床边进行纤支镜吸痰抢救的危重症患者。其中收住重症监护病房(ICU)13例,神经外科2例,呼吸内科4例。19例中喉癌术后、食管癌术后并发左肺不张及气道痰阻各1例,腹部外伤多脏器破裂出血术后并发左下肺不张1
The author in January 1999 to December 2004 by bedside bronchoscopy suction suction irrigation treatment of critically ill patients a total of 19 cases, are summarized as follows. 1 Clinical data 1.1 General Information 19 cases are sputum Yongzong in the airways weak or slightly disturbed unconscious cough reflex, inhaled atelectasis, massive hemoptysis respiratory failure, severe hypoxemia in the bed edge of the fiber branch Mirror suction sputum rescue critically ill patients. Among them, 13 admitted intensive care unit (ICU), 2 cases of neurosurgery, respiratory medicine in 4 cases. 19 cases of laryngeal cancer after surgery, esophageal cancer complicated with left atelectasis and airway phlegm in 1 case, abdominal injury multiple organ rupture bleeding complicated by left lower atelectasis 1