Innovation of interventional pulmonary disease technology at the Fourth Military Medical University

the second affiliatedHospital of the Fourth Military Medical University, therespiratory medicine professor Jin Lue led the task group, lasted 8 years, took the lead in the domestic development of a series of interventional lung disease technology clinical application research, to solve the respiratory system many difficult and criticaldisease
diagnosis and treatment problems, especially in the early diagnosis of lung cancer, central airway narrow bronchial tube internal membrane tuberculosis diagnosis and treatment of stubborn blood diagnosis and treatment of advanced international, domestic leading levelRecently, the above-mentioned research results won the first prize of the 2007 military medical achievementsThe diagnosis and treatment of peripheral pulmonary lesions, pulmonary diffuse lesions, enlarged lymph nodes in the chest, central airway stenosis, critical respiratory failure, bronchial endoscosis and stubborn hemorrhage have been major problems faced by respiratory cliniciansInterventional pulmonary medicine has only been used in clinical practice for more than 10 yearsIn December 1998, Jin Luhin and others took the lead in introducing the technology in China, and combined with the national conditions and the development of respiratory disciplines, the technology has carried out a wide range of improvement and innovationGold Luminescence and other researchers for the peripheral lesions of the pulmonary circumliary disease, diffuse lungdisease
and the problem of diagnosis difficulties of pulmonary lymph node swelling, respectively, designed x-ray or CT-guided ultra-fine bronchoscopy peripheral pulmonary lesions biopsy, B super-guided transdermal pulmonary auto-elastic puncture biopsy, 64-row CT instead of airpath ultrasound positioning by bronchoscopic injection biopsy and other new methods, significantly improve the success rate of diagnosis, reduce the success rate of diagnosisThe researchers also screened and developed the common methods and operating procedures of china's interventional treatment center airway narrowness, such as microwave electrocoagulation, high-frequency electric burning or electric cutting, argon plasma, laser airway ablation, airway high-pressure balloon expansion, stent placement technology adaptation certificate, operation routine, precautions, etc., for the popularization of these technologies in China has laid a solid foundationIn addition, the researchers applied bronchoscopy intervention techniques to the treatment of critical respiratory failure and the diagnosis and treatment of trachea, bronchonosis and stubborn hemorrhage, such as using rapid trachea intubation in critical respiratory failure treatment to keep the airways open and improve breathing difficulties through under-sacintattraction and irrigation; The methods of argon knife, high-pressure balloon expansion, stent placement, etcto treat bronchial endocosis, prevent lung damage and protect lung tissue, use bronchoscopy to diagnose the cause of stubborn hemorrhage, and through under-the-mirror microwave, laser burning, coagulation hemorrhage or under-the-mirror irrigation of epinephrine, clotting enzymes, vertical hemorrhage and other drugs, expanding the clinical application range of bronchoscopySo far, jin luminescence and other bronchoscopy examination and treatment of 23680 cases, carry out a variety of interventional treatment more than 2500 cases, efficiency and success rate are more than 90%The above-mentioned research results have been in the country more than 20 tertiary A and other hospitals the promotion and application, and achieved good social and economic benefits (Zhang Zhongqiao)