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目的:探讨纤维支气管镜(纤支镜)在高原重症胸部创伤早期临床应用价值。方法:对46例高原重症胸部创伤患者入院12小时内应用纤支镜检查、镜下止血、支气管冲洗、治疗肺不张及纤支镜引导下经鼻气管插管并总结分析其临床资料。结果:46例患者纤支镜检查和治疗后SaO2、心率、血气分析,胸部X片均出现明显改善,其中有21例ARDS患者经纤支镜引导下经鼻插管后呼吸机辅助呼吸抢救成功。结论:纤支镜早期检查和治疗,操作简单,诊断明确,抢救及时,防止病情恶化,对气道管理起到较好的作用。
Objective: To investigate the clinical value of bronchoscopy (bronchofibroscopy) in the early stage of severe chest trauma at high altitude. Methods: 46 cases of severe chest trauma patients admitted to hospital within 12 hours using fiberoptic bronchoscopy, microscopic hemostasis, bronchial irrigation, atelectasis and bronchoscopy guided nasal endotracheal intubation and analysis of its clinical data. Results: SaO2, heart rate, blood gas analysis and chest radiographs of 46 patients were significantly improved after bronchoscopy. Among 21 patients with ARDS, 21 patients with ARDS underwent nasal cannulation with nasal cannula under ventilator-assisted resuscitation . Conclusion: Fiberoptic bronchoscopy early detection and treatment, simple operation, a clear diagnosis, timely rescue, to prevent deterioration of the condition, the airway management play a better role.