【健康科普】无痛、局麻支气管镜——让呼吸变得更舒适
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.yilongnews.com/static/publish/css/style.css?v=1605251010503" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010503"><!-- 付费贴--> <div class="preview_article "> <!----> <p>话说有一天</p><p>我突然遭遇了一场“咳嗽大战”</p><p>每天，那个捣蛋鬼咳嗽</p><p>就在我耳边“唱歌”</p><p>唱得我头疼欲裂</p><p>吃了各种“止咳糖豆”</p><p>它还是不依不饶</p><p>正当我快被它烦死的时候</p><p>医生扔给我一个“法宝”——支气管镜</p><p>什么是支气管镜呢？</p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508195953front1_0_430595_Ftt2Mvn745v7bUD6mNLqhgI4g0Bn.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="306" height="264" data-qf-origin="forum/20240508195953front1_0_430595_Ftt2Mvn745v7bUD6mNLqhgI4g0Bn.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p>支气管镜是将细长的支气管镜经口或鼻置入患者的下呼吸道，即经过声门进入气管和支气管以及更远端，直接观察气管和支气管的病变，并根据病变进行相应呼吸道疾病的检查和治疗。</p><p> 传统上，支气管镜检查是一项侵入性的操作，患者在检查过程中可能会经历恶心、剧烈呛咳等不适，这导致许多患者对检查产生恐惧心理。为了解决这一问题，仪陇县总医院呼吸与危重症医学科气管镜室推出了无痛支气管镜检查与普通局部麻醉支气管镜检查。</p><p>无痛和局部麻醉哪个更好呢？</p><p>无痛支气管镜技术的优势：</p><p> ①减少患者痛苦：通过专业麻醉医师给予的麻醉药物，患者在睡眠状态下接受检查，从而实现了无痛诊疗。</p><p> ②提高诊疗质量：患者在无痛状态下接受检查，有利于内镜医师进行全面细致的诊断和治疗。</p><p> ③降低费用和时间：无痛技术减少了患者的诊疗时间和家属的经济负担。</p><p> 局部麻醉支气管镜检查优势：</p><p> 患者体质较好可选择局部麻醉，主要通过在鼻腔和口腔内喷麻药达到麻醉效果，患者检查时可保持清醒，减少麻醉风险。</p><p>哪些患者需要接受支气管镜检查？</p><p>①不明原因的咯血或痰中带血。</p><p> ②慢性咳嗽，怀疑支气管结核、气道良性和恶性肿瘤。 ③X线或CT检查异常，如肺不张、肺部肿块、肺部弥漫性病变、纵膈淋巴结肿大、支气管狭窄等。</p><p> ④气道内吸入异物、气道狭窄患者的球囊扩张、支架置入以及气道肿瘤患者病变组织的冷冻、激光等介入治疗。</p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200049front1_0_430595_FsRZcW_Ur0hTQ9ChVMMctYXzbFsB.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="769" height="580" data-qf-origin="forum/20240508200049front1_0_430595_FsRZcW_Ur0hTQ9ChVMMctYXzbFsB.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p>检查注意事项•术前一天</p><p> </p><p> ①与我科医师联系检查事宜；</p><p> ②携带检查资料及心电图到门诊医技楼3楼二诊区麻醉门诊行麻醉评估 (患者必须到场)；</p><p> ③禁食、水：局麻患者检查前禁食、水4小时；无痛及全麻患者检查前禁食、水8小时(术前一天晚上10点后不再饮食喝水)。</p><p> </p><p>检查注意事项•手术当天</p><p> </p><p> ①检查当日家属必须陪同，携带心电图、血常规、凝血功能、近期胸部影像资料及抽取式纸巾1-2包及麻醉评估单；</p><p> ②有假牙的患者检查前需去除假牙；</p><p> ③有高血压病史且规律服药的患者于检查当日晨6:00前喝一小口水服用降压药；</p><p> ④糖尿病患者检查前不可服用降糖药物或注射胰岛素，避免引起低血糖。</p><p> </p><p>检查注意事项•术后注意事项</p><p> </p><p> ①检查结束后2小时进温凉软食，先喝一小口水，如没有呛咳等方可进食。</p><p> ②无痛及全麻患者检查结束后24小时内不要驾车、高空作业、签署法律文件或操作机械设备。</p><p> ③术后可能出现咽痛、咯血、鼻咽部不适或疼痛，三到四天会自行消失。</p><p> ④若出现发热、咳痰加重、咯血量多应及时就医。</p><p>气管镜室简介</p><p> [仪陇县总医院]呼吸与危重症医学科气管镜室拥有一支专业的医疗团队，包括主任医师、副主任医师、中级职称医师和住院医师，气管镜专科护理人员，他们先后于四川大学华西医院，上海长海医院、北京解放军总医院进修学习，均具有多年的临床经验。</p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200209front1_0_430595_FoVcYjr9MevKJZTalZxFVm7THSqq.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="1024" height="714" data-qf-origin="forum/20240508200209front1_0_430595_FoVcYjr9MevKJZTalZxFVm7THSqq.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200209front1_0_430595_FhY67pX5aCk6c_mIcIjRAlcuvzHE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="1022" height="649" data-qf-origin="forum/20240508200209front1_0_430595_FhY67pX5aCk6c_mIcIjRAlcuvzHE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200209front1_0_430595_Fu0AHr6ihTpzDfvRlhRX3KbZX9_N.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="466" height="384" data-qf-origin="forum/20240508200209front1_0_430595_Fu0AHr6ihTpzDfvRlhRX3KbZX9_N.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200209front1_0_430595_FiRlWtL8LJ0AzEVacDnM3JfCwOSe.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="945" height="779" data-qf-origin="forum/20240508200209front1_0_430595_FiRlWtL8LJ0AzEVacDnM3JfCwOSe.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200209front1_0_430595_FppzClJCGPX4QigtegMUdGhswNYI.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="831" height="685" data-qf-origin="forum/20240508200209front1_0_430595_FppzClJCGPX4QigtegMUdGhswNYI.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p>科室目前拥有电子气管镜，硬质气管镜、床旁气管镜、冷冻治疗仪以及独立的内镜清洗系统。</p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200230front1_0_430595_Fke9pKtiiaZheDJfgw005w8UmhWE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="747" height="487" data-qf-origin="forum/20240508200230front1_0_430595_Fke9pKtiiaZheDJfgw005w8UmhWE.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p>科室目前常规开展支气管镜检查、肺泡灌洗、粘膜活检术、气管刷检术、支气管异物取出术、支气管狭窄的治疗（电凝术、冷冻术）、肿瘤活检冻切术及冻凝术等，能够帮助患者更好的管理和治疗呼吸道疾病。</p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.yilongnews.com/forum/20240508200251front1_0_430595_FjNgplWhSDl3oU840m0bGVfKVtuu.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" alt="" width="1128" height="748" data-qf-origin="forum/20240508200251front1_0_430595_FjNgplWhSDl3oU840m0bGVfKVtuu.jpg?watermark/1/image/aHR0cHM6Ly9waWMuYXBwLnlpbG9uZ25ld3MuY29tL2FkbWluX0ZsUThBWDM1eGFuM2pNRW5OdnNXRU95aFJUb0sucG5n/dissolve/80/gravity/SouthEast" /></p><p>科室地址及电话：</p><p> </p><p>①仪陇县医疗中心院区第一住院部15楼</p><p>（呼吸一病区）0817-7789769</p><p>②仪陇县医疗中心院区第一住院部16楼</p><p>（呼吸二病区）0817-7777012</p><p>③仪陇县总医院金城院区院区内科楼6楼</p><p>(呼吸三病区）0817-7224462</p><p>④仪陇县医疗中心院区三楼内镜中心</p><p> （气管镜室）0817-7885152</p> <!----></div>
页:
[1]