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作者在紧急情况下对40例患者作纤支镜检查,男性26例,女性14例,平均年龄42(17～76)岁。原有病变属神经外科疾患12例;胸腹创伤11例;胸部手术后6例;咯血6例;严重肺病3例国;吸入性肺病3例;自杀2例;其他7例。纤支镜检指征:肺不张13例;局限性肺病7例;气胸5例;弥漫性肺病3例;胸膜炎2例;咯血伴肺部病变1例;胸片未见异常9例(气管狭窄4例;咯血3例;支气管分泌物(?)塞2例).因病情紧急,均在床旁,在局麻下,经鼻或经气管套管插入纤支镜进行检查或吸引、冲洗治疗.诊断性纤支镜检50次,诊断阳性率70%.包括支气管粘膜栓塞11/21次,细菌学检查11/12次,咯血定位2/4次,气管狭窄4/4次,气管-支气管破裂3/5次,
The author in 40 cases of patients under emergency microscopy, 26 males and 14 females, with an average age of 42 (17 to 76) years of age. The original lesion was neurosurgical disease in 12 cases; thoracic and abdominal trauma in 11 cases; chest surgery in 6 cases; hemoptysis in 6 cases; severe lung disease in 3 cases; inhalation lung disease in 3 cases; suicide in 2 cases; the other 7 cases. Bronchoscopy indications: atelectasis in 13 cases; 7 cases of pulmonary disease; pneumothorax in 5 cases; diffuse lung disease in 3 cases; pleurisy in 2 cases; hemoptysis with pulmonary disease in 1 case; chest X-ray showed no abnormalities in 9 cases (trachea Stenosis in 4 cases; hemoptysis in 3 cases; bronchial secretions (2) plug in 2 cases.) Due to emergency, are at the bedside, under local anesthesia, nasal or endotracheal tube inserted bronchoscopy to check or attract, wash The diagnosis of bronchoscopy 50 times, the diagnosis of positive rate of 70%, including bronchial mucosal embolization 11/21 times, bacteriological examination 11/12 times, hemoptysis positioning 2/4 times, tracheal stenosis 4/4 times, tracheal - Bronchial rupture 3/5 times,