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金普乐, 李艳肖, 李枝巧. Forgarty导管定位气胸肺漏气支气管(附19例报道)[J]. 实用临床医药杂志, 2011, (17): 67-69. DOI: 10.3969/j.issn.1672-2353.2011.17.022
引用本文: 金普乐, 李艳肖, 李枝巧. Forgarty导管定位气胸肺漏气支气管(附19例报道)[J]. 实用临床医药杂志, 2011, (17): 67-69. DOI: 10.3969/j.issn.1672-2353.2011.17.022
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JIN Pu-le, LI Yan-xiao, LI Zhi-qiao. Positioning the bronchus of pulmonary air leakage by injecting air into the bronchus and measuring pressure in the bronchus: A report of 19 cases[J]. Journal of Clinical Medicine in Practice, 2011, (17): 67-69. DOI: 10.3969/j.issn.1672-2353.2011.17.022
Citation: JIN Pu-le, LI Yan-xiao, LI Zhi-qiao. Positioning the bronchus of pulmonary air leakage by injecting air into the bronchus and measuring pressure in the bronchus: A report of 19 cases[J]. Journal of Clinical Medicine in Practice, 2011, (17): 67-69. DOI: 10.3969/j.issn.1672-2353.2011.17.022
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Forgarty导管定位气胸肺漏气支气管(附19例报道)

Positioning the bronchus of pulmonary air leakage by injecting air into the bronchus and measuring pressure in the bronchus: A report of 19 cases

    摘要
  • 摘要: 目的 探讨Forgarty导管球囊克液封堵支气管,球囊前端支气管充气、测压定位气胸肺漏气支气管的方法、效果及安全性.方法 在纤支镜直视下,将Forgarty导管沿纤支镜工作道插入到可疑靶支气管,采用球囊充液封堵靶支气管,球囊前端支气管充气、测压定位肺漏气支气管.结果 19例气胸患者中,顺利置入球囊导管、完成球囊充液、定位和封堵术l6例,闭合性气胸定位失败3例.张力性和交通性气胸定位时间平均9 min；闭合性气胸平均15 min(P＜ 0.05).11例1次粘堵肺漏气支气管成功,4例2次,1例3次.定位过程中患者生命指征平稳,无明显不适.结论 本气胸肺漏气支气管定位方法更加精准和具有较好的安全性,特别适合胸腔负压吸引时,引流管无明显气体溢出的气胸患者.

     

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