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目的探讨胸外伤后肺不张的原因及纤维支气管镜的治疗应用价值。方法总结28例胸外伤后肺不张患者行支气管镜检查、操作方法、治疗效果并进行分析。结果28例肺不张患者大部分为炎性渗出、痰栓和凝血块所致,其中1例无异常。24例均于镜下治疗成功,不张肺全部复张,3例进行手术治疗,1例转上级医院治疗。结论应用纤维支气管镜治疗胸外伤后肺不张,诊断明确,创伤小,费用低、恢复快、疗效显著,便于临床应用。
Objective To investigate the causes of atelectasis after thoracic trauma and the therapeutic value of bronchoscopy. Methods A total of 28 patients with atelectasis after thoracic trauma were analyzed with bronchoscopy, operation method and treatment. Results Most of the 28 cases of atelectasis were inflammatory exudation, caused by sputum and clotting, of which 1 was normal. 24 cases were successfully treated under the microscope, all non-Zhang Zhang Zhang Zhang, 3 cases of surgical treatment, 1 case go to the higher hospital for treatment. Conclusion The application of fibrobronchoscopy in the treatment of thoracic atelectasis, diagnosis, trauma, low cost, rapid recovery, significant effect, easy to clinical application.