全肺灌洗术中纤维支气管镜检查的应用价值

目的：总结分析41例全肺灌洗术中双腔支气管导管插管的临床经验。方法回顾性分析2010年2月至2015年2月在该院行大容量全肺灌洗术患者41例，对双腔支气管插管后使用听诊定位法与纤维支气管镜定位法进行探讨。结果41例患者利用听诊定位等辅助定位成功39例，2例患者反复听诊定位无法进行双肺隔离，改用纤维支气管镜定位成功。其中使用纤维支气管镜检查后调整导管深度19例，调整后均隔离良好，灌洗顺利。结论全肺灌洗术成功的前提在于双腔支气管导管选择及精确定位。纤维支气管镜直视定位已成为双腔支气管导管定位的金标准。

Application value of fibrobronchoscope test in process of whole lung lavage

Objective To analyze the clinical experience of double lumen endobronchial tube intubation in 41 cases of whole lung lavage .Methods Forty‐one patients with whole lung lavage in our hospital from February 2010 to February 2015 were retro‐spectively analyzed .The effect of bronchoscopy and auscultation location method were explored after double‐lumen endobronchial intubation in whole‐lung lavage .Results Among 41 cases ,39 cases were successfully located by using the auscultation location ,and other 2 cases were successfully positioned by using the bronchoscopy position after repeatedly auscultation location method resulting in lung isolation failure .The catheter depth in 19 cases was adjusted after using bronchoscopy ,and then double lung was isolated well and lavage was successfully conducted .Conclusion The prerequisite for success of whole lung lavage is accurate position of double‐lumen endobronchial tube .Bronchoscopy look positioning has become the gold standard of double‐lumen endobronchial tube position .