摘要
目的探讨纤维素性支气管炎的发病规律、临床特点、诊断要点和治疗方法。方法对3例经病理确诊的纤维素性支气管炎病人临床资料进行总结。结果纤维素性支气管炎临床上是以反复或周期性咯血、咯出支气管管型为特点的疾病,多继发于肺部感染性疾病,其发病机制尚未完全清楚,病死率较高。结论纤维素性支气管炎是一种少见疾病,凝血酶气道内局部使用可能为产生支气管管型的原因之一;治疗的关键在于积极治疗原发病,消除管型产生的原因;同时应注意加强呼吸道管理,防止支气管管型脱落导致气道阻塞窒息。
Objective To discuss the pathogenesis, clinical characteristics, diagnosis and treatment of plastic bronchitis. Methods A summary was done for clinical data of three patients with plastic bronchitis confirmed pathologically. Results Plastic bronchitis, with a relatively high mortality, is a disease characterized by repeated and periodical emptysis and bronchial cast, mostly secondary to pulmonary infection, it＇s pathogenesis is unclear. Conclusion Plastic bronchitis is a rare disease, intra air way use of thrombin may be one of the reasons to form bronchial cast. The key of therapy is to treat primary disease and eliminate the causes of the cast formation. Respiratory management should be enhanced to avoid air way obstruction caused by falling off cast
出处
《青岛大学医学院学报》
CAS
2008年第6期510-512,共3页
Acta Academiae Medicinae Qingdao Universitatis
