肺病治疗

OBJECTIVE: Spontaneous reports of interstitial lung disease in patients with rheumatoid arthritis treated with leflunomide, a disease-modifying antirheumatic drug, have been appearing recently.

目的：应用来氟米特，一种疾病修饰的抗风湿药物，治疗类风湿性关节炎病人发生间质性肺病的自发性报道最近已经发表。

Objective: To evaluate the clinical effect of tiotropium bromide in treating COPD patient at stable stage.

目的：评价吸入噻托嗅铵对慢性阻塞性肺病的治疗作用。

Objective To investigate the effect of enteral nutrition on patients with COPD during acute exacerbation stage.

目的 探讨慢性阻塞性肺病加重期患者早期肠内营养支持的治疗效果。

Methods Virus Cytopathogenic Effect was used in vitro to measure half inhibitary concentration (IC50), inhibitory concentration and treat index. Mouse influenzal viral preumonia experiment was carried out in vivo to observe the pulmonary pathologic change and calculate the pathologic rate and pathologic inhibition rate.

体外试验采用病毒细胞病变观察法测定药物的半数抑制浓度(IC50)和最小有效浓度及治疗指数；体内试验采用病毒接种致肺炎动物模型试验，观察肺病变并计算病变率和病变抑制率。

To observe the curative effect of salmeterol and fluticasone powdery inhalant in curing pnemoconionsis.

目的 观察沙美特罗替卡松粉吸入剂在尘肺病治疗的效果。

Salmeterol and fluticasone powdery inhalant is significantly better than the treatment in control group in terms of improving clinical symptoms and lung functions, and it has good adjuvant effect on pneumoconiosis.

沙美特罗替卡松粉吸入剂在改善患者临床症状和肺功能方面均明显优于对照组，对尘肺病有良好的辅助治疗作用。

Objective To explore the clinical outcomes of whole lung lavage for the therapy of pneumoconiosis.

目的探讨全肺灌洗术治疗尘肺病的临床效果。

Blood gas and lung function were detected before and after lavage.

目的 探讨全肺灌洗术治疗尘肺病的临床效果。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Results The cases of this study account for 5.2%(184/3534) of primary bronchiogenic carcinomas and 14.5%(184/1265) of pulmonary adenocarcinomas that were admitted by PUMCH during the same period. The ratio of males to females is 1:1.24. 27.2% of the cases were discovered during health checkups, with no obvious symptoms. Because of its radiological features, BAC could easily be misdiagnosed as pneumonia, pulmonary tuberculosis or interstitial lung disease, and the ratio of the misdiagnosed cases is as high as 41.9%.

结果 本组病例占我院同期原发性支气管肺癌的 5.2 （ 184/3534 ），占我院同期肺腺癌的 14.5%（ 184/1265 ），男女之比 1：1.2 ，无症状体检发现者占 27.2%， BAC 影像学的表现易被误诊为肺炎、肺结核、间质性肺病，误诊比例高达 41.9%，综合治疗的疗效较单一治疗效果好。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。