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为了观察双肺同期大容量肺灌洗(WLL)治疗煤工尘肺患者的临床疗效,采用自身对照方法,对100例壹期煤工尘肺患者进行WLL治疗,对治疗前、中、后动脉血气、肺功能及临床症状进行比较。结果显示,壹期煤工尘肺行WLL术后临床症状明显好转,肺功能于灌洗后1个月有所改善,血氧饱和度于双肺灌洗结束后有所下降,术后10 d的PaO2有所提高。提示煤工尘肺行WLL治疗,能明显改善症状,能提高动脉血氧分压和改善肺功能;WLL治疗也可能导致一过性肺创伤,故患者术后1周要加强临床的监护和治疗。
In order to observe the clinical efficacy of dual lung concurrent large-capacity lung lavage (WLL) in the treatment of coal worker’s pneumoconiosis patients, WLL treatment was performed on 100 cases of coal worker’s pneumoconiosis with self-control method. Lung function and clinical symptoms were compared. The results showed that in the first phase of coal mine pneumoconiosis after WLL clinical symptoms improved significantly, pulmonary function improved 1 month after lavage, oxygen saturation decreased after the end of dual lung lavage after 10 d PaO2 has improved. Prompted coal workers pneumoconiosis WLL treatment, can significantly improve the symptoms, can improve arterial oxygen tension and improve lung function; WLL treatment may also lead to transient lung trauma, so the patient 1 week after surgery to strengthen clinical care and treatment.