| 宫亮1 郑建惠2 陈景渝2 刘刚2 熊玮1 周向东1△.第三军医大学西南医院呼吸科[J].现代生物医学进展英文版,2012,12(2):360-363. |
| 第三军医大学西南医院呼吸科 |
| Teaching Fiberoptic Bronchoscopy via Simulation System duringClinical Education for Respiratory Specialists |
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| DOI： |
| 中文关键词: 模拟教学 纤维支气管镜 临床培训 呼吸系统 |
| 英文关键词: Simulation Teaching Flexible bronchoscopy Clinical Education Respiratory System |
| 基金项目: |
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| 中文摘要: |
| 支气管镜在呼吸系统疾病的诊治中有着非常广泛的应用，也是作为呼吸专科医师所必须掌握的一项临床技能。但是在对该
项技术熟练之前，不能允许在病人身体直接操作，这样对呼吸专科医师的临床培训造成了较大困难。近年来，我院采用了美国模
拟电子内镜教学系统进行培训，取得了满意的效果。通过该系统的训练，培训学员能对支气管镜的操作流程、操作技巧和手法，镜
下气管，各叶、段支气管走行和解剖形态，病变的定位和镜下形态，以及如何对病变进行活检、支气管灌洗和出现并发症时怎样处
理等，均有较为深刻的体会，并可获得多次反复练习的机会，培训所需时间也明显缩短。 |
| 英文摘要: |
| Bronchoscopy has wide applications in the diagnosis and treatment of respiratory diseases, and it is also a basic clinical
skill for respiratory specialists. However, before a physician is skilled in operating the bronchoscope, they are not allowed to perform
bronchoscopy for patients. This causes great difficulties for clinical education of respiratory specialists. In recent years, our hospital has
been using an electronic endoscopy simulator (made in the US) for clinical education, and the teaching results are satisfactory. This system
includes a bronchoscopy simulation operation system, an electronic display, and many types of revisable cases, simulated patient
monitoring system, possible clinical conditions during operation, etc. Through the training with this system, the students can deeply understand
the bronchoscopic operation procedure, operative skills and techniques, the directions and anatomic forms of trachea as well as
all bronchial lobes and segments under a bronchoscope, and lesion positioning and the morphology under a bronchoscope; meanwhile,
they can understood how to perform lesion biopsy and bronchial lavage, and how to treat when cough, bronchial spasm, hemorrhage and
other clinical conditions occur. In addition, the students can obtain an opportunity for repeated practice, and the required training time also
shortens significantly. |
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