摘要
目的探讨经气道人体白蛋白泡沫定位肺漏气支气管的方法，并评价其效果及安全性。方法29例气胸患者，在纤维支气管镜直视下，人体白蛋白泡沫靶支气管内注射，定位肺漏气所属支气管。结果29例患者肺漏气支气管均定位成功，从泡沫注射至确定肺漏气支气管定位所需平均时间为（4．0±1．2）min，20％人体白蛋白用量平均（8．0±2．6）m]／例。医用生物蛋白胶封堵成功21例，仅一氰基丙烯酸酯封堵成功8例。并发症：剧烈咳嗽6例，发热和胸腔出血各4例，胸痛1例。结论人体白蛋白泡沫靶支气管内注射是一种操作简单、价格低廉、安全和有效的肺破裂支气管定位的方法。
Objective To evaluate the efficacy and safety of a new method to determine the bronchus for air leakage in pneumothorax by injection of human albumin foam. Methods In 29 cases with pneumothorax, the bronchus responsible for air leakage was localized by injecting foam of human albumin into target bronchus under direct view of bronchoscopy. Results The bronchus for air leakage was successfully localized in all the 29 cases of pneumothorax. The average time for locating （ from injection of the foam to the localization of the bronchus） was （4. 0 ± 1.2）min, and the average amount of 20% human albumin used was （ 8.0 ± 2. 6） ml for each patient. The air leakage was treated accordingly, and occlusion by fibrin glue was successfully carried out in 21 cases and by OB glue in 8 cases. Severe cough was noted in 6 , fever in 4, thoracic bleeding in 4 cases, and chest pain in 1 case. Conclusion Injection of human albumin foam into target bronchus under bronchoscopy was a simple, safe and effective method for the localization of the bronchus for air leakage in pneumothorax.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2011年第5期344-347,共4页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
气胸
白蛋白
泡沫
定位
Pneumothorax
Albumin
Foam, location
