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总结纤支镜在大咯血治疗及诊断中的应用价值。方法 :利用纤支镜对 2 0例大咯血进行检查及治疗。观察大咯血患者的出血部位、血块阻塞情况、向出血部位注入生理盐水 +凝血酶 +去甲肾上腺素 ,并观察止血效果。结果 :14例可见活动性出血 ,16例可见不同范围的血块阻塞 (其中 4例广泛血块阻塞伴极度呼吸困难 ) ,15例经 1次纤支镜治疗后止血 ,4例经 2次治疗后止血 ,1例经 1次治疗无效后拒绝再次治疗。结论 :纤支镜在大咯血的应用中可以起到明确出血部位、清除血块 ,有着显著的止血效果 ,相对较为安全。
Summarize the value of bronchoscopy in the treatment and diagnosis of massive hemoptysis. Methods: The use of bronchoscopy on 20 cases of massive hemoptysis for examination and treatment. Hemorrhage observed in patients with hemoptysis sites, blockage of blood clots, injection of saline into the bleeding site + norepinephrine, and to observe the effect of bleeding. Results: 14 cases showed active hemorrhage, 16 cases showed different blockages of blood clots (including 4 cases of extensive blockage and severe dyspnea), 15 cases of hemostasis after bronchoscopy and 4 cases of hemostasis after 2 treatments , 1 case after treatment failed to refuse treatment again. Conclusion: Fiberoptic bronchoscopy can play a definite bleeding site in the application of hemoptysis, remove blood clots, has a significant hemostatic effect, and is relatively safe.