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目的 :寻找一种治疗顽固性肺不张的新方法。方法 :对 2 5例顽固性肺不张施行了选择性经纤支镜支气管内加压充气术治疗。引起肺不张的疾病包括感染 ,结核性胸膜炎 ,肺癌 ,外伤疤痕。所有病人都得到了对症治疗 ,但肺不张仍存在。经纤支镜将气囊导管送至目标支气管 ,球囊充气后加压泵导管内加压 ,压力 30～45cmH2 O ,并维持 5～ 10min。透视判断肺复张效果。结果 :所有肺不张术中立即复张 ,6例随后 6个月内复发 ,远期复张率为 76 %。所有操作没有并发症发生。结论 :提示选择性经纤支镜支气管内加压充气是治疗顽固性肺不张的良好方法。
Objective: To find a new method of treating refractory atelectasis. Methods: Twenty - five cases of intractable atelectasis were treated with selective bronchoscopy and inflation. Diseases that cause atelectasis include infections, tuberculous pleurisy, lung cancer, and traumatic scars. All patients have been symptomatic treatment, but there is still atelectasis. The fiberoptic bronchoscopy catheter delivered to the target bronchus, balloon inflation pressure pump catheter pressure, pressure 30 ~ 45cmH2O, and maintain 5 ~ 10min. Perspective to determine the effect of lung recruitment. Results: All patients underwent atelectasis immediately after atelectasis. Six patients relapsed within 6 months and the long-term recovery rate was 76%. All operations without complications. CONCLUSIONS: It is suggested that selective endoprosthesis bronchial inflation is a good method to treat refractory atelectasis.