支气管

Lung isolation was with an Arndt wire-guided BB (Cook Critical Care, Bloomington, IN), a Cohen Flexi-tip BB or a Fuji Uni-blocker or with a left-sided DLT (Mallinckrodt Medical, Cornamadde, Athlone, Westmeath, Ireland).

四组的单肺通气装置分别为有导线引导的 Arndt 支气管阻塞器（ Cook Critical Care ，伯明顿，印第安纳州）、头部可旋转的 Cohen 支气管阻塞器、 Fuji 单腔支气管阻塞器（ Fuji Systems ，东京）和左侧双腔支气管导管（ Mallinckrodt Medical ，克纳梅德，阿斯隆，韦斯特米斯郡，爱尔兰。

Results: The numbers of Bombesin positive pulmonary cells, the lamina propria S-l00 protein, neuron-specific enolase positive nerve fibers, IgE positive cells, mast cells and IgE positive mast cells significantly increased in bronchiectasis. The changes of pulmonary endocrine cells, nerve fibers and IgE positive cells were more significantly in hyperplastic BALT areas. The S-100 and NSE were found in lymphoid tissue and BALT. A close contact was found between mast cells and the S-100 positive nerve fibers. An IgE positive outer zone was found on MC surface. Mast cells and IgE positive cells were seen in the bronchial epithelium and alveolar septa.

结果：支气管扩张症中，支气管上皮蛙皮素阳性细胞、固有膜S-100蛋白和神经特异性烯醇化酶阳性神经纤维、IgE阳性细胞、MC和IgE阳性MC均显著增多，且在支气管相关淋巴组织增生的区域上述肺内分泌细胞、神经纤维和IgE阳性细胞增多尤为显著，S-100蛋白和NSE阳性神经纤维分布於弥散淋巴组织和BALT中，MC与S-100蛋白阳性神经纤维紧密接触，MC表面有IgE阳性环状带，MC和IgE阳性细胞出现在支气管上皮间和肺泡壁。

Lens checks fiber bronchus bronchus of fiber of all patient classics all is checked before lens examination phlegmy look for 1~3 of the bacili that fight acid second, outside dividing positive of 2 phlegmy bacterium, electronegative; is in Yu Wei fiber bronchus lens is orthoptic next observation tracheal, bronchus reach each lung paragraph, bronchus mucous membrane, live via taking check, brush check to do pathology cytology examination and bacteriological examination; with the film inside bronchus unusual organize via pathology change for tuberculosis or n/med tuberculosis of the film inside diagnostic bronchus of positive of smear of n/med tuberculosis bacterium.

三、纤维支气管镜检查所有患者经纤维支气管镜检查前均查痰找抗酸杆菌1~3次，除2例痰菌阳性外，余为阴性；在纤维支气管镜直视下观察气管、支气管及各肺段、支气管黏膜，经取活检、刷检做病理细胞学检查及细菌学检查；以支气管内膜异常并经病理组织为结核病变或结核菌涂片阳性诊断支气管内膜结核。

Results: Amang 128 patients, 56 cases were diagnosed as pulmonary carcinoma (43.75%), of which 30 cases were squamous carcinoma (53.57%), 22 cases were adenocarcinoma (39.29%), 4 cases were small cell undifferentiated carcinoma (7.14%); 37 cases were bronchial pneumonia (28.91%), in which 30 cases were given brush sampling, bacterial culture of BALF, the detectable rate of pathogenic bacteria were 50%(15 cases) and 40%(12eases) respectively; 12 eases were pulmonary tuberculosis (9.38%), of which 3 eases (25%) had concurrent endobronchial tuberculosis, smear of brush biopsy and BALF found Mycobacterium tuberculosis were 11 eases (91.67%) and 5 eases (41.67%) respectively, 2 eases were diagnosed as caseous tubereulous granuloma (16.67%); 2 eases were idiopathic pulmonary fibrosis (1.56%), lease was lymphoma of long.

结果：128例患者确诊为肺癌56例(43.75%)，其中鳞癌30例(53.57%)，腺癌22例(39.29%)，小细胞癌4例(7.14%)；支气管肺部炎症病变37例(28.91%)，其中30例经防污毛刷采样、支气管肺泡灌洗液行细菌学培养，病原菌的检出率分别为50%（15例）和40%（12例）；肺结核12例(9.38%)，其中合并支气管内膜结核3例(25%)，刷检涂片和支气管肺泡灌洗液找到结核杆菌分别为11例(91.67%)和5例(41.67%)，病理确诊为结核性乾酪样肉芽肿2例(16.67%)；特发性肺间质纤维化2例(1.56%)，肺淋巴瘤1例(0.78%)。

Results The expression of TNF-α in HBE was activated by sputa from bronchiectatic patients and Zhikuoning Mixture might su...

结论支气管上皮细胞TNF-α表达在支气管扩张症发病中可能起到重要的作用；中药支扩宁合剂可抑制支气管上皮细胞TNF-α的表达，从而抑制支气管扩张症气道炎症反应，这可能是其疗效机理之一。

Objective:To observe the difference of pulmonary function and bronchodilatation test of the cases with asthmatic patients in their alleviative period.

目的：观察支气管哮喘缓解期老年及青年患者的肺通气功能、支气管舒张试验有何异同方法：对处于支气管哮喘缓解期的老年患者36例，青年患者28例，进行肺通气功能、支气管舒张试验测定并比较分析。

The results are compared and analyzed.Results Among the 244 patients' bronchial provocation test results,160 are positive （65.57%）,77 are negative （31.56%） and 7 are suspected positive （2.87%）.The 160 positive patients are treated with glucocorticoid and bronchodilatation,and the symptoms are relieved.

结果 244例患者支气管激发试验阳性160例（65.57%），阴性77例（31.56%），可疑阳性7例（2.87%）。160例支气管激发试验阳性患者按支气管哮喘予吸入糖皮质激素及支气管舒张剂治疗，症状缓解。

Results Rigid bronchoscopy showed foreign bodies in the main bronchus or bronchus intermedius of 42 patients, while spiral CT localized airway foreign bodies in the same patients.

结果 硬支气管镜检查发现42例异物在主支气管或支气管叉，胸部CT扫描显示相同位置异物；硬支气管镜诊断为阴性的9例中，胸部CT检查6例为真阴性而3例为假阳性。

objective according to 14 cases of patients with post-traumatic bronchial rupture of the ct and x-ray findings.analysis of its causes,trauma type,and ct,x-ray value and the advantages and disadvantages.methods 14 cases of bronchial rupture in patients with clinical data,x-ray,ct-chip analysis and summing up.results traumatic bronchial rupture study the performance of the main image①bronchial cut-off levy;②atelectasis and pulmonary fall levy③pleural effusion,pneumatosis;④mediastinum,subcutaneous emphysema;⑤many thoracic fractures;⑥traumatic wet lung,and so on.conclusion for traumatic bronchial rupture combined with x-ray and ct examination can be clearly diagnosed early.

目的 根据14例患者外伤后支气管断裂的ct和x线表现，分析其起因、外伤类型和ct、x线应用价值及优劣势。方法对14例支气管断裂患者的临床资料、x线平片、ct片进行分析、总结。结果外伤性支气管断裂的主要影像学表现①支气管截断征；②肺不张与肺坠落征；③胸腔积液、积气；④纵隔、皮下气肿；⑤胸廓多发骨折；⑥合并创伤性湿肺等。结论对于外伤性支气管断裂结合x线摄片和ct检查是可以早期明确诊断的。

There is not a significant difference in these groups by one-way analysis of variance. 2 Among 51 cases with lung cancer, 7 specimens showed malignant cells in bronchial lavages, including 4 cases in central lung cancer and 3 cases in peripheral lung cancer. Concordant results were observed in 20 cases. 6 specimens showed malignant cells on cytological analysis, and NMSP was positive in at least one gene tested. 14 samples did not show malignant cells on cytological analysis, and the NMSP results were correspondingly negative. The results of cytology and NMSP were discordant in 31 samples. 30 samples were cytologically negative, but NMSP positive in one or more genes. In addition, there was one case that the cytology was positive for malignant cells, but the NMSP was negative in all of the three gene tested.

51例肺癌患者支气管灌洗液细胞学检查发现肺癌细胞7例，其中27例中心型肺癌患者4例支气管灌洗液发现肺癌细胞，24例周围型肺癌患者3例支气管灌洗液发现肺癌细胞。20例支气管灌洗液细胞学检查和过甲基化检测得到一致结论。6例支气管灌洗液发现肿瘤细胞，过甲基化分析至少一个基因阳性。14例灌洗液未发现肿瘤细胞，三个基因过甲基化分析均为阴性。31例支气管灌洗液细胞学检查和过甲基化检测得到不一致结论，30例细胞学检查为阴性，但过甲基化分析一个或一个以上基因为阳性。1例细胞学检查阳性但过甲基化分析阴性。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。