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我科自1974年开始用BF—B_2型纤维支气管镜进行了1,200余例病人的检查,克服了过去用金属支气管镜检查的缺点,在早期诊断肺癌方面起了一定的作用。近年来纤支镜检查已广泛应用于临床。现着重介绍纤支镜检查的术前准备,局部麻醉,标本采取,器械清洗和消毒,术后护理及纤支镜的保养。一、术前准备(一)了解病史、体检、X线和实验室的检查等情况;(二)术前口腔及鼻腔的清洁;(三)术前禁食及用药;(四)抢救药品的准备。
In our department, more than 1,200 patients were examined with a BF-B_2 fiberoptic bronchoscope since 1974, which overcomes the shortcomings of metallurgical bronchoscopy in the past and played a role in early diagnosis of lung cancer. In recent years, fiber bronchoscopy has been widely used in clinical. It is now focused on preoperative preparation for bronchoscopy, local anaesthesia, specimen collection, instrument cleaning and disinfection, postoperative care and fiber bronchoscope maintenance. First, preoperative preparation (a) to understand the history, physical examination, X-ray and laboratory tests and other conditions; (b) preoperative oral and nasal cavity clean; (c) preoperative fasting and medication; (d) rescue drugs ready.