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Objective To probe into CT manifestation and it's diagnostic value for foreign body in trachea or bronchus of children.

目的 探讨小儿气管支气管异物的CT表现及诊断价值。方法对 16例经纤维支气管镜证实的小儿气管支气管异物进行CT扫描。

Results:① Thin-slice reconstruction, MPR and VR provided higher detecting rate of small peripheral pulmonary adenocarcinonia signs than conventional axial images, including lobulation, spiculation, pleural indentation and bronchovascular convergence;② MPR and VR was superior to axial thin-slice reconstruction in judging the presence of the vacuolar sign, air-bronchogram and bronchovascular convergence.

结果:①64层CT薄层重建、MPR及VR在显示肺小腺癌的分叶征、毛刺征、胸膜凹陷征及支气管血管集束征方面优于常规横断面;②MPR及VR对于空泡征、支气管气相和支气管血管集束征的判别有优势。

Objective To report the diagnostic experience for broncholithiasis, and to evaluate the value of flexible bronchoscopic management for the disease.

目的提高临床医师对支气管结石症的认识;评价可弯曲支气管镜在支气管结石症治疗中的价值。

Furthermore, in this article, different methods of interventional therapy under bronchoscope according to different types of bronchial tuberculosis and a kind of advanced technique named bronchoscopic lung volume reduction are introduced.

本文还介绍了不同类型的支气管结核在内镜下的治疗方法以及支气管镜下实施肺减容治疗重度肺气肿这项新型技术,同时指出了我国在支气管镜介入治疗方面的不足和建议。

Methods:In a less invasive bronchoscopic approach designed to mimic LVRS,one-way valves are inserted into selected bronchi in emphysematous portions of the lung.

目的:探讨支气管镜肺减容术的作用机制、适应证、安全性、疗效、景方法:与肺减容术相似,通过纤维支气管镜向肺气肿部分的支气管置入单向活瓣。

objective:to approach the immunity status of pulse magnetic field treatment on treating paediatric lobular pneumonia.method:120 paediatric cases,suffering from lobular pneumonia by pulse magnetic field treatment,admitted by our department during the period of january 2008 and october 2008,designing observation group;120 cases,which were health check-up the same term,designing control group.observation group were picked blood 2ml before treatment and after treatment 4 weeks;control group was picked blood 2ml during health check-up.blood serum was separated and immunoglobulin was inspected by immunity nephelometry and immunity function were analyzed.results: iga igm igg value in 120 cases observation group was lower than of the control group and iga igm igg value was obviously heightener after treatment.the difference between the two cases was significant in statistics(p.05).conclusion: pulse magnetic field treatment on treating paediatric lobular pneumonia improve immunity function,boost up resistance of paediatric cases.

目的:探讨脉冲磁疗治疗小儿支气管肺炎前后体液免疫功能状况。方法:我科于2008年1月~2008年10月收治的部分支气管肺炎患儿采用脉冲磁疗治疗120例,设为观察组;同期门诊健康体检儿童120例,设为对照组,观察组于治疗前及治疗后4周分别采血2ml,对照组于体检时采血2ml,分离血清用免疫比浊法进行免疫球蛋白检测,并对治疗前后患儿的体液免疫功能进行分析研究。结果:120例观察组患儿治疗前iga igm igg值均低于正常对照组,且观察组治疗后iga igm igg值均较治疗前明显增高,且经统计学处理差异均有显著性(p.05)。结论:脉冲磁疗治疗小儿支气管肺炎改善了患儿的体液免疫功能,从根本上增强了抗病能力。

Results: In treatment group, the results showed that inquination rate of segmental bronchus was zero by cultured bacteria of excretion and examed their susceptibility to antibiotics.

经纤维支气管镜,清除支气管分泌物并向感染支气管肺段内注入有效抗生素,是治疗气管切开术后肺部感染的高效、经济、适用的方法。

Results The positive rates of detecting Mycobacterium tuberculosis were13%,19%,22%,15% and 76% respectively by pathologic examination, brushing smear, sputum smear, culture after bronchoscopy and NPCR methods. Significant differences were found between NPCR and the other 4 methods (all Ps<0.01). No positive result for Mycobacterium tuberculosis was found in 43 controls by NPCR.

结果 67例支气管内膜结核活检组织病理检查、刷检涂片、支气管镜检&激惹&后痰涂片、镜检术后痰培养及NPCR检测阳性率分别为13%、19%、22%、15%和76%,后者与前四者相比差异有非常显著性(P均<0.01)。43例支气管肺癌患者结核分支杆菌DNA的NPCR无一例阳性。

Results The positive rates of detecting Mycobacterium tuberculosis were13%,19%,22%,15% and 76% respectively by pathologic examination, brushing smear, sputum smear, culture after bronchoscopy and NPCR methods. Significant differences were found between NPCR and the other 4 methods (all Ps<0.01). No positive result for Mycobacterium tuberculosis was found in 43 controls by NPCR.

结果 67例支气管内膜结核活检组织病理活动检查、刷检涂片、支气管镜检&激惹&后痰涂片、镜检术后痰培养及NPCR 检测流产阳性率分别为13%、19%、22%、15%和76%,后者与前四者相比差异有非常显著性(P均<0.01)。43例支气管肺癌患者结核分支杆菌DNA的NPCR无一例阳性。

objective: the discussion after the textile fiber bronchoscope inspection, enhances the bronchial tube internal membrane tuberculosis patient's diagnosis value.

8例纤维支气管镜引导下经皮扩张气管。。。目的:探讨经纤维支气管镜检查,提高支气管内膜结核患者的诊断价值。

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