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| Comparative Observe on Blood Volume Detected by Bronchoscopy in Lung Cancer of Different Lobes |
| LIU Weiting, YAO Yu, LI Zaiqing |
| Shaoyang Central Hospital, Hunan Shaoyang 422000, China |
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Abstract Objective: To investigate the volume of hemorrhage after lung biopsy in the different lung segments under bronchoscope of lung cancer patients. Methods: A analysis was made about the volume of hemorrhage in different lung segments biopsy under bronchoscope in 79 patients with lung cancer between March 1, 2015 and April 1, 2018. Result: Not patients death in the 79 cases because of lung biopsy , according to the degree of bleeding after different lung lobe biopsy classification (20ml each of the following is a small amount of bleeding, 20 ml to 100 ml for the medium amount of bleeding, more than 100ml for a large number of bleeding) ,there are no significant statistical differences in the three groups , but from The specific amount , Mean blood loss at the posterior segment of apicoposterius segment in upper lobus(22.30±28.378) ml, lobus medius or lingulare segment(36.69±40.145) ml, and lower lobe basale segment (13.69±15.785) ml.the comparison in the three lobus were statistically significant (P<0.05). Conclusion: Lung biopsy under bronchoscope is generally safe, and the amount of hemorrhage in the lobus medius or lingulare segment is significantly greater than that in the upper and lower lobe basale segments, which have the lowest amount of bleeding in each segment.
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[1] 中华医学会呼吸病学分会.支气管镜诊疗操作相关大出血的预防和救治专家共识[J].中华结核和呼吸杂志,2016,39(8):588~591.
[2] Han Y, Kim H J, Kong K A, et al. Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: A systematic review and meta-analysis[J]. PLoS One,2018, 13(1): e191590.
[3] Asai M, Samayoa A X, Hodge C, et al. Elective intubation and positive pressure ventilation for transbronchial lung biopsy[J].Surg Res,2017, 219: 296~301.
[4] 王银凤,曾奕明.支气管Dieulafoy 病1例报告并文献复习[J].国际呼吸杂志,2015,35(22):1719~1722.
[5] Madan K, Dhungana A, Hadda V, et al. Flexible bronchoscopic argon plasma coagulation for management of massive hemoptysis in bronchial dieulafoy's disease[J]. Lung India,2017, 34(1): 99~101. |
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2019, Vol. 25 
