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本文将2000年1月-2003年7月我院行纤支镜吸痰及支气管灌洗病例进行总结,报告如下。1临床资料共77例,男63例,女14例,年龄12-78岁,涉及胸外科、神经内科、神经外科、脊柱骨科、急诊科。胸外科病例,共28例,闭合性多根肋骨骨折15例、血气胸6例、心脏术后合并肺部感染3例、肺部手术后合并肺部感染4例,均为外科治疗后第2或3天,胸片检查发现单侧肺或肺叶不张,纤支镜检查发现为大量血块或脓痰堵塞气道。神经内、外科病例,共22例,诊断脑卒中16例、脑外伤术后6例,气管切开16例,气管切开时间为入院后1h～10d,入院后发生肺部感染为第1～10天,并发肺部感染的诊断标准
This article from January 2000 -2003 in July in our hospital bronchoscopy suction and bronchial lavage cases were summarized as follows. A total of 77 cases of clinical data, 63 males and 14 females, aged 12-78 years old, involving thoracic surgery, neurology, neurosurgery, spinal orthopedics, emergency department. There were 28 cases of thoracic surgery, 15 cases of closed multiple rib fractures, 6 cases of hemothorax, 3 cases of pulmonary infection after cardiac surgery, and 4 cases of pulmonary infection after pulmonary surgery. Or 3 days, chest X-ray examination revealed unilateral or pulmonary atelectasis, bronchoscopy found a large number of clots or purulent sputum blocking the airway. Neurological and surgical cases, a total of 22 cases, 16 cases of stroke diagnosis, 6 cases of traumatic brain injury, tracheotomy in 16 cases, tracheotomy time 1h ~ 10d after admission, pulmonary infection after admission for the first 1 ~ 10 days, complicated by pulmonary infection diagnostic criteria