纤维支气管镜下综合治疗脑外伤并发肺炎110例体会  

Treatment of 110 cases of cerebral trauma complicated with pneumonia by fiberbronchoscope

作　　者：李锐[1] 于江丽[2] 

机构地区：[1]河南省洛阳市中心医院神经外科,洛阳471009 [2]山东省中医药学校附属医院

出　　处：《陕西医学杂志》2005年第5期558-559,574,共3页Shaanxi Medical Journal

摘　　要：目的探讨纤维支气管镜在治疗脑外伤、脑部手术后并发肺炎的意义。方法对于脑外伤、脑部手术后并发的肺炎和呼吸道阻塞患者110例,应用纤维支气管镜直视下清除呼吸道分泌物及痰痂、肺泡灌洗等措施进行治疗。结果治疗组110例患者痊愈54例,占49.1%;显效47例,占42.7%;好转7例,占6.4%;无效2例,占1.8%。对照组110例患者痊愈37例,占21.8%;显效31例,占34.1%;好转34例,占36.8%;无效8例,占7.3%。两组显效率和有效率比较,治疗组明显优于对照组(P<0.05)。结论纤维支气管镜下肺灌洗在治疗脑外伤、脑部手术后并发肺炎中疗效较好,值得推广。Objective:To explore the significance of fiberbronchoscope in the treatment of pneumonia in cases of cerebral trauma and post cerebral operation . Methods:Sputum suction and pulmonary alveoli perfusion by fiberbronchoscope were performed in 110 cases of cerebral trauma and post cerebral operation complicated with pneumonia and respiratory obstruction. Results:In 110 cases of treatment group,54 cases were cured(49.1%),47 cases showed good effect(42.7%),7 cases improved(6.4%),2 cases were unchanged (1.8%). In 110 cases of control group, 37 cases were cured(21.8%),31 cases showed good effect(34.1%),34 cases improved (36.8%),8 cases were unchanged(7.3%). Conclusion:Pulmonary alveoli perfusion by fiberbronchoscope has better effect in the treatment of pneumonia complicated in cases of cerebral trauma and post cerebral operation

关 键 词：脑外伤 肺炎 综合治疗 镜下 纤维支气管镜 术后并发 呼吸道分泌物 呼吸道阻塞 肺泡灌洗 治疗组 对照组 脑部 患者 直视下 显效率 肺灌洗 痊愈 无效 

分 类 号：R651.15[医药卫生—外科学] R725.631[医药卫生—临床医学]