使用硬质支气管镜和冷盐水灌洗治疗大量咯血
Management of massive haemoptysis with the rigid bronchoscope and cold saline lavage.
作者信息
Conlan A A, Hurwitz S S
出版信息
Thorax. 1980 Dec;35(12):901-4. doi: 10.1136/thx.35.12.901.
Abstract
Twelve successive patients with massive haemoptysis were treated by emergency rigid bronchoscopy and lavage of the bleeding lung with cold saline. All patients stopped bleeding during the procedure and all blood and clot was evacuated from the accessible airways. The bleeding source was localised to a lobe in seven cases, and lateralised in the remaining five patients. Five patients had a second haemorrhage during that hospital stay and cold saline lavage again terminated it. Further therapy, either surgical or medical was based on information obtained during the respite from haemorrhage achieved with this technique. There was no hospital mortality in the series.
摘要
连续12例大量咯血患者接受了急诊硬质支气管镜检查并用冷盐水灌洗出血肺叶。所有患者在操作过程中均停止出血，且所有血液和血凝块均从可及气道清除。7例患者出血源定位于一个肺叶，其余5例患者出血源定位于一侧。5例患者在住院期间再次出血，再次进行冷盐水灌洗后出血停止。根据通过该技术实现的出血缓解期所获得的信息进行进一步的手术或药物治疗。该系列患者无医院死亡病例。
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