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支气管镜高频电刀治疗气管内良恶性狭窄

刘桂霞 程真顺 彭清臻 厉银平

医学新知杂志Issue(4):247-249,3.
医学新知杂志Issue(4):247-249,3.

支气管镜高频电刀治疗气管内良恶性狭窄

Treatment of Benign and Malignant Stenosis in Trachea with High-frequency Electrocautery via Bronchoscope

刘桂霞 1程真顺 1彭清臻 1厉银平1

作者信息

  • 1. 430071湖北武汉,武汉大学中南医院呼吸科
  • 折叠

摘要

Abstract

Objective To explore the therapeutic effects and safety of high-frequency electrocautery via bron-choscope in the treatment of neoplasm obstruction in trachea and main bronchus under general anesthesia and larynge-al mask airway. Methods Thirty-two patients with dyspnea caused by benign and malignant stenosis in trachea as well as main bronchus were collected. High-frequency electrocautery via bronchoscope was used under general anes-thesia through propofol,fentanyl and vecuronium in the protection of laryngeal mask airway. Results Dyspnea was re-lieved obviously after the treatment of high-frequency electrocautery via bronchoscope in all 32 patients. FEV1 was (1.62±0.24)Land(2.48±0.46)L(P﹤0.01),airwaydiameterwas(3.15±1.41)mmand(8.12±1.20)mm (P﹤0. 01),dyspnea index was(1. 95 ± 0. 69)and(0. 73 ± 0. 34)(P﹤0. 01)before and after treatment. Conclusion High-frequency electrocautery via bronchoscope under general anesthesia and laryngeal mask airway can relieve neo-plasm obstruction and dyspnea obviously,which is safe and feasible.

关键词

气道肿瘤/喉罩通气/高频电刀/支气管镜

Key words

Airway tumor/Laryngeal mask airway/High-frequency electrocautery/Bronchoscope

分类

医药卫生

引用本文复制引用

刘桂霞,程真顺,彭清臻,厉银平..支气管镜高频电刀治疗气管内良恶性狭窄[J].医学新知杂志,2014,(4):247-249,3.

医学新知杂志

1004-5511

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