精确定位 安全微创——长寿区人民医院呼吸与危重症医学科常规开展超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA）
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.hicsq.com/static/publish/css/style.css?v=1605251010499" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010499"><!-- 付费贴--> <div class="preview_article "> <!----> <section data-role="outer" class="article135" label="edit by 135editor"><section style="margin-top: 30px; margin-bottom: 30px; outline: 0px; box-sizing: border-box; color: rgb(59, 59, 59); font-size: 14px; letter-spacing: 1px; visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" neue",="" "pingfang="" sc",="" "hiragino="" sans="" gb",="" "microsoft="" yahei="" ui",="" yahei",="" arial,="" sans-serif;"="" class="_135editor"><section style="padding-right: 1px; padding-left: 1px; outline: 0px; box-sizing: border-box; line-height: 2; font-size: 16px; visibility: visible;"><p style="outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; text-indent: 0em;"><span style="outline: 0px; box-sizing: border-box; visibility: visible;"> 本月初，长寿区人民医院呼吸与危重症医学科高税、梅攀副主任医师和张虹艳副主任护师为一例80岁女性患者进行了<strong style="outline: 0px; box-sizing: border-box; visibility: visible;">超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA）</strong>。</span></p></section></section><p style="margin-bottom: 0em; outline: 0px; clear: both; min-height: 1em; color: rgb(59, 59, 59); font-size: 14px; letter-spacing: 1px; text-align: center; visibility: visible; text-indent: 0em; font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" neue",="" "pingfang="" sc",="" "hiragino="" sans="" gb",="" "microsoft="" yahei="" ui",="" yahei",="" arial,="" sans-serif;="" box-sizing:="" border-box="" !important;"="" align="center"></p><section style="margin-top: 30px; margin-bottom: 30px; outline: 0px; box-sizing: border-box; color: rgb(59, 59, 59); font-size: 14px; letter-spacing: 1px; visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" neue",="" "pingfang="" sc",="" "hiragino="" sans="" gb",="" "microsoft="" yahei="" ui",="" yahei",="" arial,="" sans-serif;"="" class="_135editor"><section style="padding-right: 1px; padding-left: 1px; outline: 0px; box-sizing: border-box; line-height: 2; font-size: 16px; visibility: visible;"><p style="outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; text-indent: 0em;"><span style="outline: 0px; box-sizing: border-box; visibility: visible;"> 该患者前期辗转于区内多家医院，治疗效果差，上个月到我院行胸部CT检查，提示前中纵隔多发团片状软组织密度影，病灶紧邻多支大血管，经支气管盲穿出血风险高，收治我院呼吸与危重症医学科。</span></p><p style="outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; text-indent: 0em;"><span style="outline: 0px; text-align: center; visibility: visible; box-sizing: border-box !important;"></span></p><p style="outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; text-indent: 0em;"><span style="outline: 0px; box-sizing: border-box; visibility: visible;"> 经过充分的术前准备，成功为患者实施超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA），结合穿刺物病理及抗酸染色，确诊患者前纵隔占位为纵隔淋巴结结核。至此，导致患者长时间发热的“元凶”终于找到，患者在接受手术后随即转运至专科医院行抗结核治疗。</span></p></section></section><section style="margin-top: 10px; outline: 0px; box-sizing: border-box; color: rgb(59, 59, 59); font-size: 14px; letter-spacing: 1px; text-align: left; justify-content: flex-start; display: flex; flex-flow: row nowrap; visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" neue",="" "pingfang="" sc",="" "hiragino="" sans="" gb",="" "microsoft="" yahei="" ui",="" yahei",="" arial,="" sans-serif;"="" class="_135editor"><section style="box-sizing: border-box; padding-top: 9px; padding-right: 9px; padding-left: 20px; outline: 0px; display: inline-block; vertical-align: top; width: auto; align-self: stretch; flex: 0 0 auto; background-color: rgb(226, 91, 91); min-width: 5%; height: auto; visibility: visible;"><section style="outline: 0px; box-sizing: border-box; text-align: justify; font-size: 16px; color: rgb(238, 216, 190); visibility: visible;"><p style="outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; text-indent: 0em;"><strong style="outline: 0px; box-sizing: border-box; visibility: visible;">扩展了解</strong></p></section></section><section style="box-sizing: border-box; outline: 0px; display: inline-block; vertical-align: top; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: stretch; visibility: visible;"><section style="outline: 0px; box-sizing: border-box; visibility: visible;"><section style="box-sizing: border-box; outline: 0px; display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 45px 0px 0px 19px; border-color: rgba(255, 255, 255, 0) rgba(255, 255, 255, 0) rgba(255, 255, 255, 0) rgb(226, 91, 91); visibility: visible;"><svg viewBox="0 0 1 1" style="box-sizing:border-box;float: left; line-height: 0; width: 0px; vertical-align: top; visibility: visible;" xml:space="default"></svg></section></section></section></section><section style="outline: 0px; box-sizing: border-box; color: rgb(59, 59, 59); font-size: 14px; letter-spacing: 1px; visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" neue",="" "pingfang="" sc",="" "hiragino="" sans="" gb",="" "microsoft="" yahei="" ui",="" yahei",="" arial,="" sans-serif;"="" class="_135editor"><section style="outline: 0px; box-sizing: border-box; background-color: rgb(226, 91, 91); height: 3px; visibility: visible;"><svg viewBox="0 0 1 1" style="box-sizing:border-box;float: left; line-height: 0; width: 0px; vertical-align: top; visibility: visible;" xml:space="default"></svg></section></section><section style="outline: 0px; box-sizing: border-box; color: rgb(59, 59, 59); font-size: 14px; letter-spacing: 1px; text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, " helvetica="" neue",="" "pingfang="" sc",="" "hiragino="" sans="" gb",="" "microsoft="" yahei="" ui",="" yahei",="" arial,="" sans-serif;"="" class="_135editor"><section style="box-sizing: border-box; outline: 0px; display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; height: auto; visibility: visible;"><section style="outline: 0px; box-sizing: border-box; text-align: justify; font-size: 58px; color: rgb(238, 216, 190); visibility: visible;" class="_135editor"><p style="outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;">“</p></section></section><section style="box-sizing: border-box; padding: 24px; outline: 0px; display: inline-block; vertical-align: top; width: auto; flex: 100 100 0%; height: auto; visibility: visible;"><section style="outline: 0px; box-sizing: border-box; text-align: justify; visibility: visible;" class="_135editor"><p style="margin-bottom: 15px; outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible; text-indent: 0em;"> 超声支气管镜是一种在支气管镜前端安装超声探头的设备，可以在实时超声引导下行经支气管针吸活检术（EBUS-TBNA）。我院呼吸与危重症医学科副主任高税在重庆医科大学附属第一医院呼吸科专项进修该技术，操作熟练，技术水平过硬。该手术采取静脉全身麻醉，手术时间短、手术安全、患者痛苦小，患者术后6小时可下床，术后第1天即可恢复正常活动。</p><p style="outline: 0px; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 0em;"> 这是我院呼吸与危重症医学科继常规气管镜诊断气管、支气管腔内病变（1994年），经皮穿刺肺活检术诊断肺外周病变（2007年），胸腔镜诊断胸膜病变（2011年）后开展的又一项新技术，标志着该科肺部疾病诊断领域拓展到纵隔及气管、支气管管腔外，让肺部病变再无诊断死角，让患者就医更便捷。</p></section></section></section><section class="_135editor" data-role="paragraph"><p><br></p></section></section> <!----></div> <!----> 可以加油
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