支气管肺泡灌洗在难治性肺部感染治疗中的应用  

Application of Bronchoalveolar Lavage in Treating Refractory Pulmonary Infection

作　　者：杨伟康[1] 刘翱[1] 牛宪忠[1] 陈宇英[1] 樊满齐[1] 李妍[1] 张晓明[1] 

机构地区：[1]成都军区昆明总医院呼吸内科,云南昆明650032

出　　处：《西南军医》2007年第2期8-9,共2页Journal of Military Surgeon in Southwest China

摘　　要：目的探讨经支气管镜肺泡灌洗、注药治疗难治性肺部感染的疗效。方法对照组60例患者给予抗生素及综合治疗,治疗组68例患者在抗生素及综合治疗的基础上给予经支气管镜肺泡灌洗、注药每周2次,连续2周。结果灌洗组有效率92.6%,对照组有效率65%,灌洗组有效率明显高于对照组(P<0.01)。灌洗组和对照组致病菌清除率分别是85.3%和60%,两组致病菌清除率比较有显著性差异(P<0.01)。结论支气管肺泡灌洗治疗难治性肺部感染是一种安全有效的治疗方法。Objective To discuss the curative effect of bronchoalveolar lavage and drug injection by bronchoscope in the treatment for refractory pulmonary infection. Methods 128 cases were divided into 2 group ： the treatment group （ n = 68） and the control group （n = 60）. Antibiotics and general therapy were given to the control group while the 68 cases in the treatment group, besides antibiotics and general therapy, received bronchoalveolar lavage and drug injection, twice a week for 2 weeks. Results The effective rate in the treatment group was 92.6% ,which was much higher than that of 65% in the control group （P 〈0.01 ） The bacterial clearance in the 2 groups was 85.3% and 60% respectively,with significant difference （ P 〈0. 01 ）. Conclusions Bronchoalveolar lavage is safe and effective in treating refractory, pulmonary infection.

关 键 词：支气管镜肺泡灌洗 难治性肺部感染 

分 类 号：R563[医药卫生—呼吸系统]