纤维支气管镜诊断和治疗吸入性损伤

目的 通过纤维支气管镜对吸入性损伤进行系统形态学观察，探讨纤维支气管镜下诊断吸入性２的形态学标准，早期诊断的可行性以及纤维支气管镜在吸入性损伤的局部治疗作用。方法 经过１０年来１４４例临床应用纤维支气管镜诊治吸入性损伤体会，观察不同损伤程度的形态表现。结果 得出镜下诊断和分类，早期经纤维支气管镜诊断吸入性损伤的可行性及意义，借助纤维支气管镜对吸入性损伤局部进行吸引、刷洗、灌注等治疗的临床效果。结论

Fiberoptic bronchoscopy in diagnosis and treatment of inhalation injury]

OBJECTIVE: To explore the morphological standard of diagnosing inhalation injury, the feasibility of early diagnosis and the topical therapy of inhalation injury through fiberoptic bronchoscopy. METHODS: In one hundred and forty four patients with inhalation injury that were admitted in 10 years were examined with bronchoscopy, and the results were analysed. RESULTS: Diagnostic criteria and classification were obtained with the aid of the bronchoscopy. It was found feasible to make early diagnosis within 8 h and also to exercise treatments in the form of suction, irrigation, etc. CONCLUSION: Bronchoscopy plays an important role in the early diagnosis and treatment of inhalation injury, and it should be used more extensively in patients suspected to have inhalation injury.