Value of electronic bronchoscopy in diagnosis and treatment of thoracic diseases

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1 what is an electronic bronchoscopeElectronic bronchoscopy is the use of modern technology, the tens of thousands of thin glass fiber compo

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1 what is an electronic bronchoscope

Electronic bronchoscopy is the use of modern technology, the tens of thousands of thin glass fiber composed of a few mm in diameter of the flexible endoscope inserted by the patient's nose, the video observation of lesions of trachea and bronchus and lung inside, an instrument to diagnose and treat the operation of the diseases of the respiratory system. It can be directly used for brushing and biopsy of tracheobronchial lesions, to obtain diagnostic cytology and histopathology, bacteriology and other aspects, significantly improve the level of diagnosis and differential diagnosis of diseases of the respiratory system, and can provide a clear, bright and vivid high resolution image, make the bronchitis patients and their families have a clear and intuitive understanding of the disease and treatment effect.

With the continuous development and improvement of the related technologies, fiberoptic bronchoscopy is playing a more and more important role in the field of modern respiratory medicine and cardiothoracic surgery. With the continuous progress of anesthesia, the patient's pain experience gradually reduced, so that patients can be in the case of very little pain to complete the relevant checks.

2 indications (what are the symptoms of the need for fiberoptic bronchoscopy?)

1 unknown causes of various types of lung shadow and atelectasis.

(1) the diagnosis of lung cancer (location, cell and pathological examination), preoperative staging and evaluation;

(2) local or diffuse lung lavage and lung biopsy to assist in the diagnosis of etiology.

2 sputum detection of suspicious cancer cells, the need to identify the location of lesions (location).

3 unexplained cough or cough nature changes.

4 unexplained limitations of asthma, vocal cords or diaphragmatic paralysis, superior vena cava, chylothorax or pleural effusion.

5 unexplained hemoptysis or sputum with blood, need to clear the bleeding site and causes.

6 instead of thoracoscope to assist in the diagnosis of unexplained pleural disease and the treatment of certain thoracic diseases.

7 infectious diseases of the lungs, take specimens for pathogen detection.

(1) protective brush technology (PSB);

(2) protective bronchoalveolar lavage (PBAL);

(3) transbronchial lung biopsy (TBLB).

8 airway exploration:

(1) to observe the airway open after tracheal intubation or tracheal intubation or mucosal lesions location is appropriate;

(2) to observe the presence of tracheal laceration or other injuries after thoracic trauma; to determine the presence of tracheoesophageal fistula;

(3) to observe the location and extent of the damage of bronchial mucosa after inhalation of harmful gases or gastric contents;

(4) foreign body exploration.

3 application of electronic bronchoscopy in the treatment of diseases

Treatment of the following conditions may be performed using a fiberoptic bronchoscope and associated therapeutic equipment:

1 removal of tracheobronchial foreign body.

2 extraction of secretions and blood clots in the trachea and bronchi

3 treatment of atelectasis, hemostasis, drainage, drainage, drainage, local injection treatment of lung abscess.

4 tracheal and bronchial secretions were extracted and pathogenic microorganisms were cultured.

5 with laser, microwave, argon knife, high frequency electric knife and other devices to remove bronchial tumor or granulation tissue.

6 patients with tracheal or bronchial stenosis may be treated with dilation or endotracheal intubation.

7 drug injection in the treatment of lung cancer; bronchoalveolar lavage in the treatment of diffuse lung disease.

8 to guide tracheal intubation to rescue critical patients.

4 considerations of electronic bronchoscopy

First, before the examination:

1, line of electronic bronchoscopy before the need for hepatitis B five, coagulation test and ECG examination four. In order to save you to check the time, please prepare the relevant tests in advance.

2, check the morning fasting;

3, don't be nervous, have teeth, teeth should be removed for safekeeping, in close coordination with the doctor, in order to check completed successfully;

4, please take toilet paper before examination.

Two, after the inspection:

1 after the end of the two hours of inspection, the effect of anesthesia to reduce the need to start eating again;

2 all the biopsy, can be a small amount of bleeding, if the amount of hemoptysis, should come to our hospital visit;

3 patients who need biopsy, take back the pathological examination report, and then take the bronchoscopy examination report in the bronchoscope room.

Department of respiration, Shandong hospital in Qianfo Hill province the latest purchase of four of the world's most advanced electronic bronchoscope equipment (OLMPUS-CV260), the mirror is inserted into the Department of fine, flexible, high brightness, wide field of vision, all visible to subsegmental bronchial lesions above, and the comfort degree of patients increased significantly. The utility model can be widely used in the diagnosis and treatment of trachea, bronchus and lung diseases. At the same time, my department to implement zero appointment system, no advance booking, as to do with. We will be the greatest enthusiasm and dedication for the majority of patients.

 

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