Logo纤维(xiānwéi)支气管镜的临床应用第一页，共四十八页。Logo内容(nèiróng)纲要FB简介FB诊断应用(yìngyòng)FB新进展www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第二页，共四十八页。LogoFB简介(jiǎnjiè)BriefIntroductionofFlexibleBronchoscopy1.1897年德国医师Killian用硬质窥镜(RigidEndoscope)取出骨性异物;2.1964年日本(rìběn)Olympus公司Ikeda制成标准的光导纤维支气管镜，命名为可曲式光导纤维支气管镜(FlexibleFiberopticBronchoscope)；3.硬质气管镜(RigidBronchoscope)介入气管学(InterventionalBronchology)发展史：www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第三页，共四十八页。Logo常规FB探察气管(qìguǎn)范围（27级分支）：气管0主支气管Ⅰ叶支气管Ⅱ段支气管Ⅲ100%亚段支气管Ⅳ74%www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第四页，共四十八页。Logo禁忌证(ContraindicationstoBronchoscopy)绝对禁忌证/相对禁忌证1活动性大咯血；2严重的上腔静脉阻塞(zǔsè)综合征；3严重的肺动脉高压；4气管部分狭窄/（患侧支气管）；5支气管哮喘；www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第五页，共四十八页。Logo禁忌证(ContraindicationstoBronchoscopy)6全身情况极度衰竭；严重心、肺功能障碍；7不能纠正的出血倾向；尿毒症；8严重心律失常(xīnlǜshīchánɡ)；新近发生的心肌梗死/不稳定心绞痛；9疑有主动脉瘤；www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第六页，共四十八页。Logo禁忌证(ContraindicationstoBronchoscopy)绝对禁忌证/相对禁忌证1咯血宜在缓解后两周再进行；2新近有较重的支气管和肺部感染伴发热，待炎症控制后再做检查；3有肺大疱的病人，应慎重检查，避免发生气胸；4较大的气管内异物(yìwù)，一般活检钳难以经FB取出；www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第七页，共四十八页。LogoFB辅助(fǔzhù)设备(AccessoriesforFB)•氧气(yǎngqì)•监护www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第八页，共四十八页。LogoFB辅助(fǔzhù)设备(AccessoriesforFB)www.themegallery.comwww.themegallery.comCompanyLogoCompanyLogo第九页，共四十八页。Logo支气管病变的纤维(xiānwéi)支气管镜镜下分类(JRS分类)1.支气管管壁...
