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中国防痨杂志 ›› 2004, Vol. 26 ›› Issue (1): 37-39.

• 论著 • 上一篇    下一篇

240例肺不张原因及临床治疗分析

刘前桂,冯俐,王风红   

  1. 北京胸科医院 北京 100035
  • 出版日期:2004-01-10 发布日期:2004-11-03

Causes and clinical therapies of 240 atelectasis cases

LIU Qian-gui,FNEG Li,WANG Feng-hong   

  1. Beijing chest Hospital 100095
  • Online:2004-01-10 Published:2004-11-03

摘要: 目的 探讨肺不张形成原因及临床治疗方法。方法 回顾性总结 2 4 0例肺不张病例 ,分析形成原因、不同疾病肺不张的好发部位、分布及治疗方法。结果 肺不张形成的疾病以结核(6 0 .8% )、肿瘤 (16 .6 % )、炎症 (12 .1% )多见 ,支气管镜对结核、炎症肺不张有较好治疗作用。结论 CT及支气管镜检查是了解不张病因的重要方法 ,应注重基础治疗如鼓励病人咳嗽、翻身拍背、超声雾化、反复吸痰和纤维支气管镜检查等。

关键词: 肺不张/诊断

Abstract: Objective To study the causes of atelectasis and its therapy.Methods Retrospective analysis had been used to study the causes,location and therapy of atelectasis through the review of the 240 atelectasis cases.Results For 240 cases with atelectasis,tuberculosis (60.8%),tumor(16.6%),inflmation(12.1%) were its main causes.Conclusion CT and bronchoscopy were its main examination means.Atelectasis is mostly found in tuberculosis, neoplasms and inflammations, and should be examined with fiberoptic bronchosope to gain bacteriological and pathological evidences; basic therapies should be paid attention: encouraging the patients to cough, percussing the backs, ultrasonic aerosol inhalation, full sputum aspiration and local therapy with fiberoptic bronchoscope.

Key words: Atelectasis/diagnosis