支气管肺泡灌洗治疗重症肺炎的临床研究  

Clinical study of bronchoalveolar larage in treatmentof severe pneumonia

作　　者：李亚平[1] 陈翠萍[1] 栗全英 

机构地区：[1]山西省大同市同煤集团三医院内二科,山西大同037017

出　　处：《中外医疗》2008年第4期7-8,共2页China & Foreign Medical Treatment

摘　　要：目的探讨经纤支镜行支气管肺泡灌洗在重症肺炎治疗中的临床价值。方法将30例患者随机分为灌洗组和非灌洗组,灌洗组15例在常规治疗基础上加支气管肺泡灌,非灌洗组15例采用常规治疗,观察两组病例的治疗效果。结果治疗24h、72h后灌洗组的PaO2和氧合指数(PaO2/FiO2)明显高于非灌洗组(P<0.01),PaCO2明显低于非灌洗组(P<0.01);灌洗组总有效率为86.7%,非灌洗组为46.7%。两组比较有显著差异(P<0.01)。结论支气管肺泡灌洗治疗重症肺炎疗效确切,是一种安全有效,简便经济,易被患者接受,有较高的临床价值。Objective To ecplore the clinical valueof bronchoalveolar larage in treatment of severe pneumonia Methods 30 patients were randomly divided into BAL group and non-BAL group,In the BAL group,15 patients received BAL in addition of roution treatment and 15 patients had only roution treatment In the non-BAL group,Comparisons were made befveon the 2 groups. Results The BAL group＇s PaO2 and oxygenation index（PaO2/FiO2）in the post-treatment of 24h and of 72h were obviously higher than those in the non-BAL group（P〈0.01）,and the reverse were frve PaCO2（P〈0.01）,The effective ness rats in the BAL group were 86.7% and 46.7%,in respectively：P〈0.01 Conclusion BAL treat severe pneumonia,It had good effect,and significant clinical value.

关 键 词：支气管肺泡灌洗 重症肺炎 纤维支气管镜 

分 类 号：R563.12[医药卫生—呼吸系统]