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气管、支气管异物取出术中潜窥镜与普通支气管镜的应用
引用本文:洪育明,林荣志,梁振源,林泼水. 气管、支气管异物取出术中潜窥镜与普通支气管镜的应用[J]. 山东医大基础医学院学报, 2010, 0(2)
作者姓名:洪育明  林荣志  梁振源  林泼水
作者单位:福建医科大学第二临床医学院;
摘    要:目的比较应用潜窥镜与普通支气管镜在气管、支气管异物取出术中的不同效果,提高诊疗水平,减少并发症发生。方法分析206例气管、支气管异物患者的诊断、麻醉、手术方法和疗效;对潜窥镜视频监视下与普通支气管镜取异物进行对比观察。结果采用潜窥镜异物取出术均一次性手术成功;普通支气管镜行二次手术10例,术中出现喉痉挛8例、支气管痉挛12例,术后出现纵隔气肿1例、气胸2例、皮下气肿4例、心衰2例,行气管切开5例,无异物变位性窒息,气管、支气管损伤等严重并发症。结论潜窥镜下气道异物取出术具有明视、放大等特点,避免了普通支气管镜的盲目性,提高了气道异物取出术的成功率和安全性。

关 键 词:异物  气管  支气管  内镜  

Application of rod-lens and conventional bronchoscopy in tracheobronchial foreign body extraction
HONG Yu-ming,LIN Rong-zhi,LIANG Zhen-yuan,LIN Po-shui. Application of rod-lens and conventional bronchoscopy in tracheobronchial foreign body extraction[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2010, 0(2)
Authors:HONG Yu-ming  LIN Rong-zhi  LIANG Zhen-yuan  LIN Po-shui
Affiliation:HONG Yu-ming,LIN Rong-zhi,LIANG Zhen-yuan,LIN Po-shui(Department of Otorhinolaryngology,Second Clinical Medical College of Fujian Medical University,Quanzhou 362000,Fujian,China)
Abstract:Objective To improve the diagnosis and treatment of tracheobronchial foreign bodies and lower the complication rate by comparing the applications of rod-lens and conventional bronchoscopy in tracheobronchial foreign body extraction.Methods The diagnosis,anaesthesia methods,operation methods and therapeutic effect of 206 cases of foreign bodies were reviewed.Rod-lens coupled with grasping forceps sheaths tracheobronchial foreign body extraction was compared with conventional bronchoscopic foreign body extrac...
Keywords:Foreign bodies  Trachea  Bronchea  Endoscopy  
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