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气管疾病

气管疾病的相关文献在1989年到2022年内共计138篇,主要集中在内科学、耳鼻咽喉科学、外科学 等领域,其中期刊论文121篇、专利文献81817篇;相关期刊82种,包括中国防痨杂志、中国临床医学影像杂志、中国医学影像学杂志等; 气管疾病的相关文献由437位作者贡献,包括赵凤瑞、B·屈埃努、D·A·桑达姆等。

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期刊论文>

论文:121 占比:0.15%

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论文:81817 占比:99.85%

总计:81938篇

气管疾病—发文趋势图

气管疾病

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  • 赵凤瑞
  • B·屈埃努
  • D·A·桑达姆
  • D·贝蒂
  • I·布鲁斯
  • K.S.维多克
  • K·L·特纳
  • N·J·普雷斯
  • R·A·费尔赫斯特
  • R·J·泰勒
  • 期刊论文
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    • 吴娟; 胡圆榘; 王铭; 尚红磊; 林杉; 刘云; 姜竹; 栗河舟
    • 摘要: 目的:探讨孤立性血管环胎儿气管受压及预后情况。方法:选取经我院超声心动图检查诊断为孤立性血管环的82例胎儿作为病例组,包括右位主动脉弓伴左锁骨下动脉迷走(RAA+ALSA)63例,双主动脉弓(DAA)16例,肺动脉吊带(PAS)3例。选取同孕周90例正常胎儿作为正常组。超声测量病例组及正常组气管前后径、左右径、周长和面积,并随访病例组产前染色体及MRI检查情况、妊娠结局及产后患儿情况。结果:RAA+ALSA组气管左右径、周长、面积较正常组小,DAA组气管前后径、左右径、面积、周长均较正常组、RAA+ALSA组小(P<0.05)。3例PAS胎儿气管的形态发生显著改变,其中1例PAS胎儿超声及MRI检查均提示合并支气管桥。DAA组出生后10例(62.50%,10/16)患儿出现呼吸道症状,其中1例产前超声及MRI检查均提示气管受压严重,出生后CT血管造影显示受压程度较产前轻;RAA+ALSA组出生后1例(1.67%,1/60)患儿出现呼吸道症状;PAS组胎儿出生后均出现呼吸道症状。孤立性血管环胎儿检出染色体异常3例(5.56%,3/54)。结论:产前超声心动图检查可清晰显示胎儿气管的形态及受压情况,结合胎儿心脏MRI和染色体检查可为产前咨询和预后评估提供帮助。
    • 石倩; 王蓉蓉; 张广宇; 陈志
    • 摘要: 目的 探讨支气管镜介入技术在气管支气管结核所致中叶综合征治疗中的应用价值.方法 回顾性分析2015年11月至2017年12月解放军总医院第八医学中心全军结核病研究所确诊的全部气管支气管结核所致中叶综合征118例患者的临床资料,根据是否接受支气管镜介入治疗分为观察组(82例)和对照组(36例),对118例患者的临床症状、影像学表现、支气管镜下表现、气促评级、治疗效果进行对比分析.结果 观察组和对照组患者出院后6个月时的气促评级分别为(0.74±0.12)和(1.36±0.07),差异有统计学意义(t=2.791,P=0.006).观察组患者治疗后的总有效率为80.5%(66/82),对照组患者治疗后的总有效率为61.1%(22/36),两组患者治疗疗效比较差异有统计学意义(x2=12.743,P=0.002).结论 支气管镜介入技术可提高气管支气管结核所致中叶综合征治疗的有效率,是治疗气管支气管结核所致中叶综合征的重要手段.
    • 刘政
    • 摘要: 目的 为纤维支气管镜冷冻治疗探索更为可行的麻醉方法.方法 选取该院2015年11月至2016年10月收治择期行纤维支气管治疗已确诊气管结核患者40例,将其分为局部麻醉(局麻)组和全身麻醉(全麻)组,每组20例.局麻组采用2%利多卡因喉头表面麻醉,全麻组采用丙泊酚复合瑞芬太尼静脉注射,意识消失后,经口置入喉罩后接受治疗.观察并记录2组患者术中呛咳、体动、恶心、呕吐、呼吸抑制情况.记录手术前基础值(T0),气管镜通过声门后即刻(T1)、5 min(T2)、10 min(T3)、15 min(T4)及拔出气管镜即刻(T5)平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO2).记录检查有效治疗时间.术后随访患者满意度,以及再次治疗依从性.结果 全麻组有效治疗时间[(28.5±8.2)min]长于局麻组[(19.3±6.4)min],差异有统计学意义(P<0.05).2组T1~T5时MAP、HR、SpO2,以及患者检查满意度、术后随访二次检查依从性比较,差异均有统计学意义(P<0.05).结论 全麻下行纤维支气管镜下冷冻治疗,术中麻醉效果确切,患者配合依从性高.
    • 邝浩斌; 谭守勇; 梁敏青; 蔡杏珊; 方琼; 汪敏; 张宏; 冯治宇; 覃红娟
    • 摘要: Objective To explore the relationship of tracheobronchial tuberculosis (TBTB) and multidrug-resistant pulmonary tuberculosis (MDR-PTB).Methods A total of 344 pulmonary TB patients hospitalized in Pulmonary Tuberculosis Department of Guangzhou Chest Hospital from January 1 to December 31,2015,were selected.All of them were with positive Mycobacterium tuberculosis culture and received bronchoscopy,furthermore,drug sensitivity of isoniazid and rifampicin were tested.Data,including age,gender,bronchoscopy,initial treatment or re-treatment,pulmonary cavity,course of disease,complications,result of sputum test,etc.,were retrospectively collected using one-way analysis of variance (ANOVA) and logistic multi-factor regression analysis.Results Of the 344 patients,70 (20.35%) were MDR-PTB,274 (79.65%) were non-MDR-PTB;199 (57.85%) complicated with TBTB,and 145 (42.15%) without TBTB.Among the 70 MDR-PTB patients,53 (75.71%) were complicated with TBTB,while 17 (24.29%) without TBTB.Results of ANOVA indicated that among MDR-PTB patients,44.28%% (31/70) with the course of the disease over 24 months,77.14% (54/70) recurrent,pulmonary cavity were found in 81.43% (57/70),and 75.71% (53/70) complicated with TBTB,which were significantly higher than those of non-MDR-PTB (13.87% (38/274),15.69% (43/274),59.49% (163/274) and 53.28% (146/274),respectively) (x2 =54.34,103.99,11.64,11.50,all P< 0.05).According to multivariate logistic regression analysis,re-treatment TB (OR (95%CI):17.37 (8.90-33.88)),pulmonary cavity (OR (95%CI):2.91 (1.36-6.23)),and TBTB (OR (95%CI):2.70 (1.33-5.49)) were risk factors of MDR-PTB.Of the 199 patients complicated with concurrent TBTB,in 75 cases (37.69 %) were of inflammatory infiltration type,44 (22.11%) were of ulcers necrosis type,granulation proliferation type were found in 10 cases (5.03%),63 (31.66%) were of scar stricture type,5 (2.51%) were of tube wall softening type and lymphatic fistula type were in 2 cases (1.00%);there was no relationship between TBTB types and MDR-PTB (r=0.03,P=0.717).Conclusion TBTB was a risk factor for MDR-PTB.More attention should be paid in screening MDR-PTB among TBTB patients,as well as screening TBTB in MDR-PTB patients,to facilitate early diagnosis and reasonable treatment.%目的 探讨肺结核患者并发气管支气管结核(tracheobronchial tuberculosis,TBTB)与耐多药肺结核(multidrug-resistant pulmonary tuberculosis,MDR-PTB)发生的相关性.方法 选取2015年1月1日至12月31日在广州市胸科医院肺结核科住院的344例肺结核患者作为研究对象.所选患者均已行支气管镜检查,同时结核分枝杆菌培养阳性并有异烟肼(H)和利福平(R)药物敏感性试验(简称“药敏试验”)结果.采用回顾性病例对照研究法,收集患者年龄、性别、支气管镜检查结果、初复治情况、肺部空洞情况、病程、并发症、痰检验结果等数据进行单因素和logistic多因素回归分析.结果 344例患者中,MDR-PTB者70例(20.35%),非MDR-PTB者274例(79.65%);并发TBTB者199例(67.85%),无TBTB者145例(42.15%).199例并发TBTB者中MDR-PTB者53例(26.63%),非MDR-PTB者146例(73.37%).70例MDR-PTB者中并发TBTB者53例(75.71%)、无TBTB者17例(24.29%).单因素分析显示,MDR-PTB患者病程>24个月、复治、肺部有空洞、并发TBTB的构成比分别为44.28%(31/70)、77.14% (54/70)、81.43% (57/70)、75.71% (53/70),高于非MDR-PTB者的13.87%(38/274)、15.69%(43/274)、59.49%(163/274)、53.28% (146/274),差异均有统计学意义(x2值分别为54.34、103.99、11.64、11.50,P值均<0.05).logistic多因素分析显示,复治[OR值(95%CI 值):17.37(8.90~33.88)]、肺部有空洞[OR值(95%CI值):2.91 (1.36~6.23)]、并发TBTB[OR值(95%CI值):2.70(1.33~5.49)]为MDR-PTB发生的危险因素.199例并发TBTB患者分为炎症浸润型75例(37.69%)、溃疡坏死型44例(22.11%)、肉芽增殖型10例(5.03%)、疤痕狭窄型63例(31.66%)、管壁软化型5例(2.51%)、淋巴结瘘型2例(1.00%),TBTB分型与MDR-PTB发生无相关性(r=0.03,P=0.717).结论 TBTB是发生MDR-PTB的危险因素,应当重视在肺结核并发TBTB者中筛查MDR-PTB,在MDR-PTB者中筛查TBTB,做到早期诊断、合理治疗.
    • 周子青; 陈愉; 钟长镐; 陈小波; 唐纯丽; 苏柱泉; 李时悦
    • 摘要: 目的 评价硅酮支架置入治疗气管支气管结核(tracheobronchial tuberculosis,TBTB)的疗效和安全性.方法 回顾性分析2014年1月至2016年12月广州医科大学附属第一医院因气道狭窄符合置入硅酮支架手术的17例TBTB患者的疗效及并发症.结果 17例患者共成功置入16枚支架,术后主支气管平均直径从(3.44±0.69) mm增加到(10.81±1.52) mm,差异有统计学意义(t=16.43,P=0.001);气管下段狭窄的4例患者气管直径从术前的7.0(5~8) mm增加到术后的15.5(14~16) mm,差异有统计学意义(Z=-2.34,P=0.019);平均1s用力呼气容积(FEV1)从术前的(1.63±0.47)L增加到术后1周的(2.33±0.51)L、术后3个月的(2.35±0.46)L,差异均有统计学意义(t=4.24、4.52,P值均=0.001),但FEV1术后3个月与术后1周差异无统计学意义(t=0.14,P=0.990).呼吸困难评分(mMRC)从术前的2.0(1~4)分降低到术后的0.0(0~2)分,差异有统计学意义(Z=-4.64,P=0.001).术后发生纵隔气肿并气胸1例、痰液潴留1例,随访过程中发现支架移位3例、肉芽组织增生5例,及时处理后均很快恢复.结论 使用硅酮支架置入治疗符合适应证的TBTB气道狭窄患者,疗效良好,安全性较高.%Objective To evaluate the efficacy and the safety of the silicone stent in treatment of tracheobronchial tuberculosis.Methods The efficacy and complications in 17 patients of tracheobronchial tuberculosis with tracheal stenosis who had silicone stent insertion were analysed retrospectively from January,2014 to December,2016 in the First Affiliated Hospital of Guangzhou Medical University.Results Sixteen silicone stents were successfully inserted into 17 patients.Average diameter of main bronchus increased from (3.44 ± 0.69) mm to (10.81 ± 1.52) mm (t =16.43,P =0.001) after operation.The diameter of lower tracheal stenosis was increased from 7.0 (5-8) mm to 15.5 (14-16) mm in 4 patients (Z=-2.34,P=0.019).Average forced expiratory volume in 1 second (FEV1) significantly improved after stent insertion for 1 week ((2.33±0.51) L) and 3 months ((2.35±0.46) L) (versus pre-planting ((1.63±0.47) L) (t=4.24,P=0.001;t=4.52,P=0.001),but FEV1 for 1 week and 3 months after stent insertion was similar (t=0.14,P=0.990).Modified medical research council (mMRC) dyspnea scale decreased from 2.0 (1-4) for pre-planting to 0.0 (0-2) for post planting (Z=-4.64,P=0.001).Postoperative complications were occurred in 8 patients including pneumomediastinum (n=1),stent migration (n=3),mucus plugging (n=1),granulomas hyperplasia (n=5),but all complications were mild and were successfully managed endoscopically.Conclusion Inscerting silicone stent is a safe and effective treatment for patients suffering post-tuberculosis tracheobronchial stenosis.
    • 肖阳宝; 席钊; 罗林紫; 罗莉; 陈璐; 李芳白
    • 摘要: Objective To evaluate the curative effect of cryotherapy combined with local drug infusion in lymph nodes fistula type tracheobronchial tuberculosis.Methods The clinical date of 53 hospitalized patients with tracheobronchial tuberculosis of lymphatic fistula type from September 2012 to March 2014 in Hunan Chest Hospital was retrospectively analyzed.The times,course,efficacy,and complications after treatment with cryotherapy combined with local drug infusion were described.The course and efficacy between single lesion and multiple lesions group were compared using the Rank sum test.A P-value of < 0.05 was considered to be significant.Results The median treatment of cryotherapy and local drug infusion were 6 (1-13) times and 8 (2-18) times,the median duration of treatment of cryotherapy and local drug infusion were 50 (7-104) days and 85 (14-142) days,therapeutic efficacy was 100.00% (53/53).The median treatment time of single lesion group was 85 (14 130) days,27 patients had a complete response,6 patients had a partial response,and 1 patient had a mild response.Compared with single lesion group,the median duration of multiple lesions group was 84 (21-142) days,13 patients had a complete response,4 patients had a partial response,and 2 patient had a mild response,no significant difference was found between single lesion and multiple lesions group in the duration (Z=0.26,P =0.785) or efficacy (Z=1.53,P=0.120).Local bleeding during treatment (<10 ml) occurred in 13 patients.Mediastinal bronchial fistula,mediastinal emphysema,fatal bleeding (≥ 100 ml) had not been found.Conclusion Combination of cryotherapy and local drug infusion through bronchoscope is a safe and effective method to tracheobronchial tuberculosis of lymphatic fistula type%目的 对支气管镜下冷冻联合局部药物灌注治疗淋巴结瘘型气管支气管结核的临床结果进行分析.方法 回顾性分析2012年9月至2014年3月在湖南省胸科医院内镜诊疗科接受冷冻联合局部药物灌注治疗的53例淋巴结瘘型气管支气管结核的住院患者,分析治疗的次数、治疗时间、治疗效果及并发症,采用秩和检验对单发和多发病灶患者治疗疗程和效果进行统计学分析,以P<0.05为差异有统计学意义.结果 冷冻治疗的中位次数为6(1~13)次,中位治疗时间为50(7~104)d,局部药物灌注治疗中位次数为8(2~18)次,中位治疗时间为85(14~142)d,总的治疗有效率达到100.00%(53/53).34例单发病灶患者治疗中位时间为85(14~130)d,完全有效例数为27例,部分有效例数为6例,轻度有效例数为1例;19例多发病灶患者治疗中位时间为84(21~142)d,完全有效例数为13例,部分有效例数为4例,轻度有效例数为2例.单发病灶与多发病灶治疗疗程及疗效差异均无统计学意义(Z=0.26,P=0.785;Z=1.53,P=0.120).13例患者治疗过程中有少量出血(<10 ml),本组患者手术后未出现支气管纵隔瘘、纵隔气肿、大出血(≥100 ml)等严重并发症.结论 冷冻联合局部药物灌注治疗淋巴结瘘型气管支气管结核安全、有效,值得推广.
    • 何玮华; 汤佳馨; 汤庆; 杜继业; 梁荣珍
    • 摘要: Objective To investigate the characteristics and clinical significance of extracorporeal high-frequency ultrasonography (EHFUS) in benign lesions of cervical tracheal cartilage. Methods A retrospective analysis was conducted for four cases of recurrent polychondritis with respiratory tract involvement confirmed by pathology,bronchoscopy and CT scanning,as well as 30 cases of cervical tracheal stenosis after oralasal intubation in our hospital between January 2011 and December 2016. EHFUS was used to determine the ultrasonographic manifestations and measure the thickness of each affected tracheal cartilage. The corresponding thickness of tracheal cartilage measured on CT was used as a control. Results All the 34 patients successfully underwent acquisition of ultrasonography and thickness measurement of cervical tracheal cartilages. In total,85 cervical tracheal cartilages were identified to be sonographically abnormal,including 20(24%)from 4 cases of recurrent polychondritis with respiratory tract involvement, and 65(76%)from 30 cases of mouthasal intubation-induced cervical tracheal stenosis. The thickness of tracheal cartilage in 85 lesions ranged from 1.0 to 7.0 mm with a mean of(2.2 ± 0.86)mm on EHFUS,and from 0.9 to 7.2 mm with a mean of(2.3 ± 0.91)mm on CT,respectively,with no statistically significant difference between the both(P> 0.05). Conclusion EHFUS may offer clear display of structural changes and thickness measurement of the cervical tracheal cartilages,and is therefore promising as a valuable aid to assess the major support architecture of the cervical trachea and therapeutic efficacy in tracheal lesions.%目的 探讨颈段气管软骨良性病变的体外高频超声表现特点及其临床意义.方法回顾性分析2011年1月-2016年12月我院经病理及气管镜、CT检查明确为复发性多软骨炎呼吸道受累患者4例,以及经口/鼻插管后颈段气管狭窄患者30例,应用体外高频超声观察各个受累气管软骨的声像表现,测量病变气管软骨厚径,并以对应气管软骨的CT厚度测值为对照.结果34例患者均获得颈段气管软骨良性病变声像图以及软骨厚度测值,共计85个回声异常的颈段气管软骨,其中复发性多软骨炎呼吸道受累者占20个(24%),经口/鼻插管后颈段气管狭窄者占65个(76%).85个病变气管软骨厚度范围:超声测值范围是1.0~7.0 mm,均值为(2.2±0.86)mm,CT测值范围是0.9~7.2 mm,均值为(2.3±0.91)mm,两组间比较差异无统计学意义(P>0.05).结论体外高频超声可以清晰显示气管重要支撑结构气管软骨的细微结构变化和测量软骨厚度,有望成为评估颈段气管支撑结构和疗效方法的一种有价值的辅助手段.
    • 摘要: 进入初秋季节,天气逐渐凉爽同时也开始日渐干燥,这个季节里润肺止咳最重要。饮食稍有不慎容易引发咳嗽等气管疾病。润肺去燥,是秋季饮食调理中要注意的。01藕:滋补养生,健脾开胃藕是东方蔬菜之王,清热疏郁,含钙、磷、铁及丰富的维生素C,富含多酚类物质,可以提高免疫力,还可抗衰老。把藕加工至熟后,其性由凉变温,虽然失去消淤、清热的性能,却变为对脾胃有益,有养胃滋阴、益血、止泻的功效。新鲜莲藕榨汁加蜂蜜,
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