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1989年12月～1991年8月我们采用经纤支镜行支气管灌洗为主的疗法,治疗37例急、慢性肺脓肿患者获得满意疗效,现报告如下。临床资料37例中男23例,女14例。年龄21～50岁。其中急性肺脓肿19例,慢性肺脓肿18例。病程3月至6月。呼吸道感染30例,其中慢性支气管炎10例,肺炎12例,支扩感染5例,急性化脓性扁桃腺炎3例。败血症4例。原因不明3例。脓腔分布:经X线及纤支镜所见定位。右侧13例:上叶4例,中叶4例,下叶5例。左侧17例:上叶5例,舌支3例,下叶9例。双侧病变者7例。脓腔直径1.5～9.8cm。
December 1989 ~ August 1991 we use bronchial bronchoscopy-based therapy, the treatment of 37 patients with acute and chronic lung abscess to obtain satisfactory results, are as follows. Clinical data of 37 cases, 23 males and 14 females. Age 21 to 50 years old. Among them, 19 cases were acute lung abscess and 18 cases were chronic lung abscess. Course of March to June. 30 cases of respiratory tract infection, including 10 cases of chronic bronchitis, pneumonia in 12 cases, 5 cases of bronchiectasis infection, acute suppurative tonsillitis in 3 cases. Sepsis in 4 cases. 3 cases for unknown reasons. Abscess distribution: the X-ray and bronchoscopy seen positioning. The right 13 cases: 4 cases of upper lobe, middle lobe in 4 cases, lower lobe in 5 cases. The left side of 17 cases: 5 cases of upper lobe, tongue in 3 cases, 9 cases of lower lobe. Bilateral lesions in 7 cases. Abscess diameter 1.5 ~ 9.8cm.