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目的 :评估纤维支气管镜在诊断大咯血的部位及治疗中的价值。方法 :对 10 8例大咯血患者应用纤维支气管镜进行出血灶的定位、血块阻塞情况、对出血部位先用生理盐水 +肾上腺素反复冲洗 ,镜下观察无出血后注入立止血。结果 :95例经 1次纤维支气管镜下治疗后止血 ,5例经 2次纤维支气管镜下治疗后止血 ,4例经 3次纤维支气管镜下治疗后止血 ,4例经 3次纤支镜下治疗不能止血后转外科手术治疗痊愈。结论 :经纤维支气管镜下确定出血灶、注入血管收缩剂、凝血药物治疗大咯血 ,作用迅速 ,效果确切。对大咯血造成广泛血块阻塞 ,导致严重呼吸困难 ,确实为有效的抢救手段
Objective: To evaluate the value of fibrobronchoscopy in the diagnosis of massive hemoptysis. Methods: 108 cases of hemoptysis patients were treated with fiberoptic bronchoscopy for the localization of hemorrhage, blood clots, the bleeding site first repeated washings with saline + epinephrine, no hemorrhage observed after the injection of standing hemostasis. Results: Ninety-five patients underwent hemostasis after one bronchofiberscopy, five underwent hemostasis after two bronchofiberscopy, four underwent hemostasis after three bronchofiberscopy, and four underwent bronchofiberscopy Treatment can not hemostasis after surgical treatment cured. Conclusion: The hemorrhage is confirmed by fiberoptic bronchoscopy, vasoconstrictor is injected, and the hemoptysis is treated by coagulation drug, the effect is rapid and the effect is definite. Massive hemoptysis caused by extensive clot blocking, leading to severe respiratory difficulties, is indeed an effective means of rescue