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克矽平(聚2乙稀吡啶氮氧化合物)是一种高分子聚合物,是国内外研究最多的矽肺治疗药物之一。我们自1989年始用0.04％克矽平生理盐水为灌洗液进行大容量全肺灌洗防治尘肺的研究,至今已对76例尘肺病人作了克矽平大容量全肺灌洗治疗,报告如下。 资料与方法 76例尘肺病人除1例女性外均为男性。年龄26～55岁,平均42岁。尘肺期别均经省、市尘肺诊断小组鉴定。0~+(可疑尘肺)18例,Ⅰ期33例,Ⅱ期24例,Ⅲ期1例。接尘时间:3～30年,平均18年。脱尘时间:1年内28例,3年以上24例,平均5年。 术前检查:每例病人详细体检,均作B超、血气分析、胸片、心电图及肺、肝、肾功能检查,其中轻度肺气肿4例,中度肺气肿伴胸膜粘连6例,窦缓10例。心电图双倍二级梯运动试验
Kerosene (poly 2 vinyl pyridine nitrogen oxide) is a polymer, is one of the most studied silicosis treatment at home and abroad. Since 1989, we began using 0.04% Silicate saline as a lavage fluid for large lung perfusion to prevent and treat pneumoconiosis. To date, 76 patients with pneumoconiosis have been treated with high-capacity whole-cell lavage, which is reported as follows . Materials and Methods All 76 patients with pneumoconiosis were male except 1 female. Age 26 to 55 years old, average 42 years old. Pneumoconiosis by provincial and municipal pneumoconiosis diagnostic team identified. 0 ~ + (suspected pneumoconiosis) in 18 cases, 33 cases of stage Ⅰ, 24 cases of stage Ⅱ, 1 case of stage Ⅲ. Take the dust time: 3 to 30 years, an average of 18 years. Dust removal time: 28 cases within 1 year, more than 3 years in 24 cases, an average of 5 years. Preoperative examination: detailed examination of each patient, were B ultrasound, blood gas analysis, chest X-ray, ECG and lung, liver and kidney function tests, including mild emphysema in 4 cases, moderate emphysema with pleural adhesions in 6 cases , Sinus slowly in 10 cases. ECG double double ladder exercise test