Korotkevich A G, Kriuchkov V V, Churliaev Iu A
Zh Vopr Neirokhir Im N N Burdenko. 1990 Jul-Aug(4):12-4.
Changes of the bronchial tree revealed during sanative fiber bronchoscopy in the first 24 hours of the acute period of severe craniocerebral trauma were studied in 57 patients. Analysis of the results made it possible to identify the components of the obstructive syndrome, its dependence on the side and level of injury to the brain, to determine the terms of disappearance of the bronchial obstruction and the number of sanative endoscopies. Comparison with the results of treatment of 75 similar patients without bronchoscopy showed the role of the obstructive syndrome in the development of pneumonia in severe craniocerebral trauma.
对57例重症颅脑创伤急性期最初24小时内进行康复性纤维支气管镜检查时所揭示的支气管树变化进行了研究。对结果的分析使得能够确定阻塞综合征的组成部分、其对脑损伤侧别和水平的依赖性,确定支气管阻塞消失的时间以及康复性内镜检查的次数。与75例未进行支气管镜检查的类似患者的治疗结果进行比较,显示了阻塞综合征在重症颅脑创伤肺炎发生发展中的作用。