[Role of fiber bronchoscopy in diagnosis and treatment of severe mechanical trauma].

The article elucidates specific features of bronchopulmonary pathology diagnosed by bronchofibroscopy in 218 patients with severe mechanical traumas. The indications to primary and repeated bronchofibroscopies are formulated. The significance of emergency and urgent bronchofibroscopy for early diagnosis of different bronchopulmonary consequencies of the trauma is shown. A description is given of endoscopic signs of contusion of the lung, aspiration syndrome, injuries of the tracheobronchial tree, different degrees of tracheobronchites, causes of lung atelectasis. The bronchofibroscopy is shown to be effective in prophylactics and treatment of bronchopulmonary pathology. The endobronchial administration of antibiotics, glucocorticoid hormones, mucolytic and proteolytic agents were shown to be effective as well as the performance of programmed bronchofibroscopy in prophylactics and treatment of bronchopulmonary complications. A classification of bronchofibroscopy in patients with severe mechanical traumas is proposed.