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1967年池田氏发明可曲性纤维支气管镜(下称纤支镜)。具有下列优点:①可视范围大,可进入全部段支气管,74%的亚段支气管和38%的亚亚段支气管;②病人耐受好,痛苦少,重危病人可在床边检查,还可在维持机械通气时进行;③对弥漫性病变或周围型局限性病变可进行肺活检;④可做下呼吸道细菌培养和灌洗,提高阳性率。故近年世界各国竞用这一先进技术,国内大医院也相继开展这项工作。现就以下6方面问题,综述有关文献以供参考。
1967 Ikeda invented flexible fiber bronchoscopy (hereinafter referred to as bronchoscopy). Has the following advantages: ① visual range, access to all segments of the bronchus, 74% of the sub-segment bronchial and 38% of the sub-sub-bronchus; ② patient tolerance, less pain, critically ill patients can be bedside examination, but also Can be carried out while maintaining mechanical ventilation; ③ for diffuse lesions or peripheral lesions can be biopsy lung disease; ④ can do lower respiratory tract bacterial culture and lavage to improve the positive rate. Therefore, in recent years, various countries in the world have been competing for this advanced technology and the major hospitals in China have successively carried out this work. Now on the following six issues, review the relevant literature for reference.