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该文报道用纤维支气管镜抢救12例肺结核咯血窒息病人,11例成活(91.76%),发现窒息至纤支镜抢救间隔时间均在6min之内,另1例死亡,其窒息时间大于10min。镜下观:10例呼吸道有较多的小凝血块散在附壁,2例右主支气管完全堵塞,抢救时注入常温生理盐水冲洗并负压吸引出凝血块,抢救成活的关键是争取时间,及时疏通呼吸道,保证呼吸道通畅,并可通过纤维支镜高流量给氧,纤支镜抢救窒息有直视效果好,可曲性大,不受体位限制,冲洗吸引方便等优点,值得推广。
This paper reports 12 cases of pulmonary tuberculosis with hemoptysis and asphyxia treated with fiberoptic bronchoscopy, and 11 cases survived (91.76%). The interval between resuscitation and bronchofibroscopy was within 6 minutes and the other one died. The asphyxia time was longer than 10 minutes . Microscopic view: 10 cases of respiratory tract more small clot scattered in the adnexal, 2 cases of the right main bronchial completely blocked, saline infusion at normal temperature during salvage and vacuum suction clot, the key to survival is to fight for time, timely Clear the respiratory tract, to ensure that the airway patency, and high-flow through the fiber optic oxygen support, fiberoptic bronchoscopy suffocation have a good direct effect, can be flexible, not subject to restrictions, flushing and other advantages of convenience, worth promoting.