Qilu Evening News • Qilu one-point reporter Wang Xiaomeng
On the afternoon of October 15, the Department of Respiratory Medicine and the Department of Anesthesiology of the Third Hospital of Shandong Province successfully performed a large-volume lung lavage under general anesthesia for a welder patient, and the recovered lavage liquid contained a large number of rust-colored dust particles. The patient recovered well after surgery, and the symptoms of cough, sputum production and chest tightness were significantly alleviated, and good treatment effects were obtained.
Mass lung lavage, commonly known as "lung lavage", is under intravenous compound anesthesia, a double-lumen tracheal intubation catheter is placed through the patient's mouth, and the double lung is isolated, and the ventilator assists the mechanical ventilation of a single lung, and 37 °C normal saline is given to complete the treatment of large-volume lavage of one lung. Large-volume alveolar lavage can effectively remove dust, dust-swallowing macrophages and harmful active factors trapped in the alveoli and terminal bronchi of patients with pneumoconiosis, improve the respiratory function of patients in time, achieve the therapeutic purpose of delaying the patient's hypopulmonary function, and is currently recognized as a safe and effective method for the treatment of diseases such as pneumoconiosis and alveolar protein deposition.
With the rapid development of the hospital, under the guidance of Wang Yansen, director of the Department of Internal Medicine, the Department of Respiratory Medicine of the Third Hospital of Shandong Province, on the basis of the conventional tracheoscopy, has successively carried out transbronchoscopic needle aspiration biopsy (TBNA), transbronchoscopic alveolar lavage, transbronchoscopic diarrheal lung biopsy (TBLB), general anesthesia downward tracheoscopic balloon dilation, airway mass ablation and general anesthesia downward large-volume lung lavage and other tracheoscopic treatments, and the level of diagnosis and treatment has been continuously improved, bringing good news to more patients.
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