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目的评价大容量肺灌洗术治疗煤工尘肺的临床疗效及安全性。方法回顾分析220例煤工尘肺患者行肺灌洗术的手术方法、手术并发症、术后疗效。结果行大容量肺灌洗术后1~2周,患者咳嗽、胸闷、气促好转率分别为96%、94%、91%;治疗2周及6个月后患者肺功能及血气分析指标均明显优于治疗前,差异有统计学意义(P<0.05)。结论全肺灌洗疗效肯定,相对安全,并发症发生率低,可一定程度上缓解尘肺患者的临床症状。
Objective To evaluate the clinical efficacy and safety of large-capacity lung lavage in the treatment of coal worker’s pneumoconiosis. Methods Retrospective analysis of 220 cases of coal workers with pneumoconiosis lung lavage surgery methods, complications, postoperative efficacy. Results The rates of cough, chest tightness and shortness of breath improvement were 96%, 94% and 91% respectively after 1 ~ 2 weeks of large-volume lung lavage. The lung function and blood gas analysis indexes of patients after 2 weeks and 6 months of treatment Significantly better than before treatment, the difference was statistically significant (P <0.05). Conclusion All-lung lavage is effective, relatively safe and has a low complication rate. It can relieve the clinical symptoms of pneumoconiosis to some extent.