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近十余年来,支气管肺泡灌洗(BAL)的进展迅速。其应用遍及肺部疾病基础领域,本文综述BAL用于临床诊断与治疗的现状。一、诊断性支气管肺泡灌洗(一)灌洗技术1.病人的选择与准备凡能施行纤维支气管镜检查的病例,一般都能耐受一个肺区以下的灌洗。选择病人的条件包括:(1)FEV_1>1.0L;(2)PaO_2(不论是否输氧)>70mmHg;(3)PaCO_2<50mmHg;(4)无明显心血管疾
The past ten years, the rapid progress of bronchoalveolar lavage (BAL). Its application throughout the basic areas of lung disease, this review summarizes the status of BAL for clinical diagnosis and treatment. First, the diagnostic bronchoalveolar lavage (A) lavage techniques 1. The patient’s choice and preparation Where the fiberoptic bronchoscopy cases, generally can tolerate the lungs below the lavage. Conditions for patient selection include: (1) FEV 1> 1.0 L; (2) PaO 2 (with or without oxygen)> 70 mm Hg; (3) PaCO 2 <50 mm Hg;