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支气管肺泡灌洗在小儿肺部疾病治疗中的作用 被引量:29

THE VALUE OF BRONCHOALVEOLAR LAVAGE BY FIBERBRONCHOSOCOPE IN TREATMENT OF CHILDREN WITHCHRONIC PULMONARY DISEASE
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摘要 经纤维支气管镜对50例慢性肺部疾病患儿进行支气管肺泡灌洗治疗。按年龄,灌洗液总量为25~125ml不等,分5等份进行灌洗。对肺部有感染的,灌洗液前2份为37℃的生理盐水,后3份为37℃、0.125%~0.25%甲硝唑。无明显感染者,5等份均为37℃生理盐水。灌洗后,依病情可局部给药。结果,32例肺不张中20例复张,6例好转,6例无变化:15例慢性肺炎中6例痊愈,9例好转;3例纤维性肺泡炎临床症状改善。提示支气管肺泡灌洗对上述肺部疾病是一种有效的治疗手段。 ronchoalveolar lavage was performed in 50 chil-dren with chronic pulmonary disease by fiberbron-choscope. The lavage fluid varied from 25ml~125mlaccording to the age of these children.The fluid wasdivided into 5 equal parts.For the children with pul-monary infection,the lavage fluid of the first 2 partswas 0.9% sodium chloride solution,the other was0.125%~0.25% metronidazole.For the childrenwithout pulmonary infection,each part of the fluid was0.9% sodium chloride solution.After the lavage wascompleted,the children were given antibiotics or be-cotid according to the their condition.Of 32 cases ofatelectasis,20 recovered completely,6 improved and 6did not have any response.Of 15 cases of chronic pul-monary infection,6 were cured and 9 improved.3 cas-es of fibrotic alveolitis were improved.We concludethat bronchoalveolar lavage is an effective treatment forchildren with chronic pulmonary disease.
出处 《中华儿科杂志》 CAS CSCD 北大核心 1995年第3期136-137,共2页 Chinese Journal of Pediatrics
关键词 肺疾病 冲洗法 支气管肺泡 灌洗液 儿童 Irrigation Bronchoalveolar Lavagefluid Lung diseases
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