| 大容量全肺灌洗治疗尘肺合并慢性阻塞性肺疾病 |
| |
| 引用本文： | 涂明利,刘玉全,雷怀定,刘先军,秦成名,王贤裕,全守波. 大容量全肺灌洗治疗尘肺合并慢性阻塞性肺疾病[J]. 郧阳医学院学报, 2008, 27(4) |
| |
| 作者姓名： | 涂明利 刘玉全 雷怀定 刘先军 秦成名 王贤裕 全守波 |
| |
| 作者单位： | [1]郧阳医学院附属太和医院呼吸内科,湖北十堰442000 [2]郧阳医学院附属太和医院麻醉科,湖北十堰442000 |
| |
| 摘 要： | 目的:探讨大容量全肺灌洗治疗尘肺合并慢性阻塞性肺疾病(COPD)患者的安全性和疗效。方法:35例尘肺合并COPD患者,采用双腔气管插管、静脉复合麻醉、单肺通气-双肺通气交替,行大容量单侧肺灌洗术,1周后再灌洗对侧肺。监测生命体征和动脉血气,检测肺功能指标的变化情况。结果:35例患者共接受全肺灌洗术70次,术中出现一过性哮鸣音和一过性低氧血症各7例次(10%),未出现其他并发症,有效率100%。术后2周肺通气和换气功能明显好转、症状缓解,至少持续6月。结论:严格的术前肺功能评估和术中单肺-双肺交替通气下大容量全肺灌洗治疗尘肺合并COPD安全有效。
|
| 关 键 词： | 尘肺 慢性阻塞性肺疾病 全肺灌洗 治疗 |
Large Volume Whole Lung Lavage for Treatment of Pneumoconiosis Patients Complicated by Chronic Obstructive Pulmonary Disease |
| |
| TU Ming-li,LIU Yu-quan,LEI Huai-ding,LIU Xian-jun,QIN Cheng-ming,WANG Xian-yu,QUAN Shou-bo. Large Volume Whole Lung Lavage for Treatment of Pneumoconiosis Patients Complicated by Chronic Obstructive Pulmonary Disease[J]. Journal of Yunyang Medical College, 2008, 27(4) |
| |
| Authors: | TU Ming-li LIU Yu-quan LEI Huai-ding LIU Xian-jun QIN Cheng-ming WANG Xian-yu QUAN Shou-bo |
| |
| Affiliation: | TU Ming-li1,LIU Yu-quan1,LEI Huai-ding1,LIU Xian-jun1,QIN Cheng-ming2,WANG Xian-yu2,QUAN Shou-bo2(1Department of Respiratory Diseases,2Department of Anesthesiology,Taihe Hospital,Yunyang Medical College,Shiyan,Hubei 442000,China) |
| |
| Abstract: | Objective To explore the safety and efficacy of massive whole lung lavage(MWLL)for treatment of pneumoconiosis patients complicated by chronic obstructive pulmonary disease.Methods Under double cavity intubation,intravenous combined anesthesia,alternate one and two lung ventilation,massive single lung lavage were performed on 35 cases of pneumoconiosis patients complicated by COPD.The opposite lung lavage were performed in the same way after one week.The vital signs and arterial blood gas were monitored,and... |
| |
| Keywords: | Pneumoconiosis Chronic obstructive pulmonary disease Whole lung lavage Treatment |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
