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[支气管哮喘和肺纤维化患者的急诊支气管纤维镜检查]

[Emergency bronchofibroscopic examination of patients with bronchial asthma and pulmonary fibrosis].

作者信息

Płusa T, Jahnz-Rózyk K, Zaraś E, Chciałowski A

机构信息

II Kliniki Chorób Wewnetrznych IMW CSK WAM w Warszawie.

出版信息

Pneumonol Pol. 1990 Apr-May;58(4-5):205-9.

PMID:2392385
Abstract

Records of 1,010 bronchofibroscopies were reviewed. Patients were examined with diagnostic and therapeutic indications, of which 6.8% were asthmatics. In most of them typical findings were seen signs of inflammation with thick, mucous secretions. In patients with status asthmaticus (0.6% of the analyzed population) bronchofibroscopy was carried out under life threatening conditions, the endoscopes being introduced through an intubation tube. Large volumes of secretions were evacuated producing more suitable conditions for further therapy and an improvement of the patients clinical condition. The authors believe that their data suggest the use of more invasive therapeutical methods in bronchial asthma.

摘要

回顾了1010例支气管纤维镜检查记录。患者因诊断和治疗指征接受检查,其中6.8%为哮喘患者。大多数患者可见典型表现,即伴有浓稠黏液分泌物的炎症迹象。在哮喘持续状态患者(占分析人群的0.6%)中,支气管纤维镜检查是在危及生命的情况下进行的,通过插管插入内镜。清除了大量分泌物,为进一步治疗创造了更合适的条件,并改善了患者的临床状况。作者认为他们的数据表明在支气管哮喘中应使用更具侵入性的治疗方法。

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