| 镜下高频电刀及局部注药联合治疗气管支气管结核 |
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| 引用本文： | 张耀亭,林素梅,吴妙芬.镜下高频电刀及局部注药联合治疗气管支气管结核[J].临床肺科杂志,2011,16(1):60-61. |
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| 作者姓名： | 张耀亭 林素梅 吴妙芬 |
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| 作者单位： | 1. 漳州,解放军第一七五医院,南京军区结核病中心,福建,363000
2. 363000,福建,漳州,解放军第一七五医院,南京军区结核病中心;福州省直机关医院 |
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| 基金项目： | 南京军区计划课题(编号:08MA080) |
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| 摘 要： | 目的探讨经纤维支气管镜高频电刀及局部注药联合治疗气管支气管结核的疗效及安全性。方法对161例气管支气管肉芽增殖型结核,经纤支镜高频电切、电灼肉芽组织,扩大管腔,并于病灶基底部注入异烟肼0.3 g及地塞米松5 mg。观察疗效及并发症。结果 151例患者解除了气道阻塞,症状消失,不张的肺复张,反复感染消除。治疗有效率93.8%。高频电刀治疗中发生严重心律失常（频发室性早搏、室上速、心动过缓）6例、大出血1例、休克1例。并发症发生率2.3%。结论经纤支镜高频电刀及局部注药联合治疗气管支气管肉芽增殖型结核疗效好,并发症少。治疗气道严重阻塞的重症病例有一定的技术难度和医疗风险。
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| 关 键 词： | 高频电刀 气管支气管结核 药物治疗 |
High-frequency electrocautery and injecting drugs via bronchofiberscope in treatment for tracheobronchial tuberculosis |
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| Zhang Yao-ting,Lin Su-mei,Wu Miao-fen.High-frequency electrocautery and injecting drugs via bronchofiberscope in treatment for tracheobronchial tuberculosis[J].Journal of Clinical Pulmonary Medicine,2011,16(1):60-61. |
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| Authors: | Zhang Yao-ting Lin Su-mei Wu Miao-fen |
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| Institution: | Zhang Yao-ting,Lin Su-mei,Wu Miao-fen(The center of Tuberculosis 175th Hospital of P.L.A,Zhangzhou Fujian 363000,China) |
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| Abstract: | Objective To explore the effects and safety of treating tracheobronchial tuberculosis by high frequency electrocautery and injecting drugs via bronchofiberscope.Methods One hundred and sixty-one cases of tracheobronchial granulomatic tuberculosis were treated by high frequency electrocautery and injecting isoniazid 0.3 and dexamethasone 5 mg to dilating airway.Observing the curative effect and complications.Results One hundred and fifty-one patients showed remakable improvement in clinical conditions.Collap... |
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| Keywords: | High-frequency electrocautery Tracheobronchial tuberculosis drug therapy |
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