Nakhosteen J A
Thorac Cardiovasc Surg. 1979 Dec;27(6):362-8. doi: 10.1055/s-0028-1096278.
A retrospective study of 60 bronchofiberscopic lavage procedures following lung surgery showed an increase of prebronchoscopy oxygen partial pressure from 64.2 mmHg (S.D. +/- 16.2) to 69.9 mmHg (S.D +/- 18.0) after bronchoscopy (P less than 0.01), while carbon dioxide partial pressure did not change significantly. Lobectomied patients tended more often to develop ipsilateral atelactases, invariably responding well to lavage; this group may benefit from prophylactic fiberoptic lavage. Cases are presented to demonstrate this point and to show the need for repeated lavage in some instances. Administration of a standard premedication dosage to patients sedated for other reasons occasionally led to worsened respiratory status; pre-medication should be reduced or eliminated in sedated patients. The effective application of lidocain and salbutamol intrabronchially is discussed. The bronchofiberscope is an important tool in optimal post-operative management of lung surgery patients.
一项针对60例肺手术后支气管纤维镜灌洗操作的回顾性研究显示，支气管镜检查前氧分压从64.2 mmHg（标准差±16.2）升至支气管镜检查后的69.9 mmHg（标准差±18.0）（P<0.01），而二氧化碳分压无显著变化。肺叶切除患者更常发生同侧肺不张，对灌洗均有良好反应；该组患者可能从预防性纤维支气管镜灌洗中获益。文中列举了病例以证明这一点，并表明在某些情况下需要重复灌洗。因其他原因接受镇静的患者给予标准的术前用药剂量偶尔会导致呼吸状况恶化；对于镇静患者，应减少或停用术前用药。文中讨论了利多卡因和沙丁胺醇在支气管内的有效应用。支气管纤维镜是肺部手术患者术后优化管理的重要工具。
