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纤维支气管镜(FOB)在呼吸系统急诊中的应用目前尚未引起重视。我院于1988年7月～1994年5月对90例呼吸系统急诊患者行FOB诊治,现就其结果结合文献对FOB的作用、指征和注意事项等进行讨论。 资料和方法 90例中男72例,女18例。年龄15～86岁,平均44.8岁。占同期常规FOB检查例数的4.1％。90例急诊FOB之目的为紧急吸痰、排除气道梗阻或窒息、急查气道损伤情况、紧急止血和吸引、排除气道梗阻或窒息、急查呼吸困难、肺不张、大咯血原因、紧急吸引吸入物、紧急吸引气道坏死脱落组织、防治窒息、紧急经鼻置入气管插管。其原发病为各种胸外伤28例(31.1％)、大面积烧伤16例(17.8％)、肺癌15例(16.7％)、COPD13例(14.4％)、各种术后肺部感染10例(11.1％)、吸入性肺炎6例(6.7％)、重症脑炎和颅脑外伤各1例(各1.1％)。上述病人分别来自胸外科、烧伤科、急诊监护中心、
The application of fibrobronchoscopy (FOB) in respiratory emergency has not drawn much attention yet. Our hospital from July 1988 to May 1994 on 90 cases of respiratory emergency patients underwent FOB diagnosis and treatment, the results are combined with the literature on the role of FOB, indications and precautions are discussed. Materials and Methods 90 cases of male 72 cases, 18 females. Ages 15 to 86 years old, average 44.8 years old. Accounting for 4.1% of the regular FOB examination cases in the same period. 90 cases of emergency FOB for the purpose of emergency suctioning, excluding airway obstruction or asphyxia, emergency check airway injury, emergency stop bleeding and attract, exclude airway obstruction or asphyxia, acute check breathing difficulties, atelectasis, the cause of massive hemoptysis, Urgently attract inhalers, urgently to induce airway necrosis, tissue protection, prevention and treatment of suffocation, emergency nasal intubation. The primary disease was 28 cases (31.1%) with various thoracic injuries, 16 cases (17.8%) with extensive burns, 15 cases (16.7%) with lung cancer, 13 cases (14.4%) with COPD, 10 cases with various postoperative pulmonary infections (11.1%), 6 cases of aspiration pneumonia (6.7%), 1 case of severe encephalitis and 1 case of traumatic brain injury (1.1% each). The above patients were from thoracic surgery, burn department, emergency care center,