新近我们应用BAL诊断治疗肺不张5例,现介绍如下: 灌洗步骤:术前30分钟皮下注射硫酸阿托品0.5毫克,用2％地卡因喷雾咽喉部。接着以纤维支气管镜(Olympus Type BF_5B_2型)插入,在插入过程中于声带、气管分叉处缓缓注入4％利多卡因5～10毫升进行局麻,并将纤支镜头端楔入中叶的B_4或B_5,其中1例楔入上叶的B_2,分次缓缓注入生理盐水30～50毫升,令患者轻咳,并用电动吸引器吸引回收液盛入自制的回收瓶,测定回收量,送细胞及液性成份检查。 Recently, we used BAL diagnosis of atelectasis in 5 cases, are described as follows: Irrigation step: 30 minutes before surgery subcutaneous injection of 0.5 mg atropine sulfate, with 2% cocaine throat spray. Followed by fiberoptic bronchoscopy (Olympus Type BF_5B_2 type) inserted in the process of vocal cord, tracheal bifurcation slowly injected 4% of lidocaine 5 to 10 ml of local anesthesia, and wedged into the middle of the lens branch B_4 or B_5, of which 1 wedge into the upper leaves of B_2, sub-sub-slow infusion of saline 30 to 50 ml, so that patients cough, and with a suction device to attract liquid into the home-made recovery bottles, the determination of recovery, delivery Cell and liquid ingredients check.