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本文对1997年～1998年78例原因不明的肺不张病人行纤支镜检查的结果分析,强调纤支镜在肺不张病因诊断中的作用,报告如下.1 资料与方法本组78例,男40例,女38例,60岁以上23例(29.5%),青壮年45例(57.7%),14岁以下10例(12.8%),其中7岁以下4例,年龄最大78岁,最小16天,平均年龄40.9岁.7岁以上病人采用Pentax FB-15P型纤支镜检查,术前准备和操作步骤均按常规进行,卧位、吸氧、床边SaO_2监测;7岁以下采用小儿纤支镜检查,在手术室全麻下进行,给予高频呼吸机供氧.根据不同情况作活检、刷检、针吸刷检和经纤支镜插入导管吸痰培养,获取病理组织和病原菌.
This article from 1997 to 1998, 78 cases of unexplained lung atelectasis in patients undergoing fiberoptic bronchoscopy results, emphasizing the role of fiberoptic bronchoscopy in the diagnosis of atelectasis, the report is as follows.1 Materials and Methods The group of 78 patients , 40 males and 38 females, 23 cases (29.5%) over 60 years old, 45 cases (57.7%) young adults and 10 cases (12.8%) under 14 years old, of which 4 were under 7 years old, Minimum 16 days, the average age of 40.9 years old patients over the age of 7 using Pentax FB-15P fiberoptic bronchoscopy, preoperative preparation and procedures are routinely carried out, supine, oxygen, bedside SaO_2 monitoring; under 7 years of age Pediatric fiberoptic examination, under general anesthesia in the operating room, to give high-frequency ventilator oxygen.According to different circumstances for biopsy, brushing, needle suction brushing and fiberoptic bronchoscopy catheter suction culture, access to pathological tissues and Pathogen.