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目的 :研究经纤维支气管镜注入三氯醋酸稀释液治疗支气管胸膜瘘的疗效。方法 :选择胸科术后并发支气管胸膜瘘病人 18例行经纤维支气管镜注入 3%三氯醋酸 ,每次 0 .5～ 1ml至支气管胸膜瘘处 ,观察胸腔闭式引流管气体溢出情况 ,1周后仍有气体溢出可反复注射。结果 :18例患者有 12例经一次三氯醋酸注射后瘘口闭合 ,5例患者经过 2次注射瘘口闭合 ,只有 1例患者经过三次注射瘘口闭合 ,总有效率 10 0 %。结论 :经纤维支气管镜瘘口内注入 3%三氯醋酸治疗支气管胸膜瘘疗效确切
Objective: To study the curative effect of bronchopleural fistula treated by injecting trichloroacetic acid diluted by fibrobronchoscope. Methods: Eighteen patients with thoracic bronchopleural fistula were selected and injected with 3% trichloroacetic acid via bronchofiberscope, each of which was 0.5-1ml into the bronchopleural fistula. The gas spillover in the thoracic closed drainage tube was observed, 1 There are still gas spills after repeated injections. Results: In the 18 patients, 12 cases were closed with a single injection of trichloroacetic acid and 5 cases were closed with 2 injection fistulas. Only 1 patient was closed with three injection fistulas, the total effective rate was 100%. Conclusion: The treatment of bronchopleural fistula with 3% trichloroacetic acid intratracheal injection of fibrobronchial fistula is effective