Passy V, Ermshar C
Arch Otolaryngol. 1976 Apr;102(4):193-7. doi: 10.1001/archotol.1976.00780090035001.
Therapy for such obstructive pulmonary lung diseases as alveolar proteinosis, pneumonia, asthma, bronchiectasis, and cystic fibrosis, ranges from medical therapy to inhalation therapy to direct bronchoscopy and irrigation. The basic pathophysiologic feature is the retention of mucous secretions and foreign material within the lungs and therapy directed to removal of these secretions. Bronchopulmonary lavage recently has been suggested as an effective tool toward resolution of these illnesses. The otolaryngologist, who is adept in endoscopy, is asked to perform bronchoscopic procedures with washings to aid in the alleviation of these obstructive pulmonary diseases. This paper deals with the effectiveness of massive bronchopulmonary lavage in the elimination of severe chronic obstructive pulmonary lung diseases.
对于诸如肺泡蛋白沉积症、肺炎、哮喘、支气管扩张和囊性纤维化等阻塞性肺部疾病的治疗,范围从药物治疗到吸入治疗,再到直接支气管镜检查和灌洗。基本的病理生理特征是肺部黏液分泌物和异物的潴留,治疗旨在清除这些分泌物。最近有人提出支气管肺灌洗是解决这些疾病的有效工具。擅长内窥镜检查的耳鼻喉科医生被要求进行带冲洗的支气管镜检查程序,以帮助缓解这些阻塞性肺部疾病。本文探讨了大容量支气管肺灌洗在消除严重慢性阻塞性肺部疾病方面的有效性。