纤维支气管镜在重症颅脑损伤合并肺内感染中的应用  

Fiberoptic bronchoscopy in severe craniocerebral injury with pulmonary infection application

作　　者：张筠[1] 曹慧玲[2] 谷景先 张以忠[2] 倪平[1] 赵维刚[1] 

机构地区：[1]吉林医药学院附属医院神经外科,132013 [2]吉林医药学院,132013 [3]辽宁锦州军分区后勤部,121000

出　　处：《医学信息（下旬刊）》2010年第8期2-3,共2页Medical information

摘　　要：目的：探讨纤维支气管镜在重症颅脑损伤合并肺内感染中的临床价值。方法：对50例重度颅脑损伤合并肺内感染忠者分为实验组25例和对照组25例进行数据统计，实验组48H内行纤维支气管镜灌洗，其他治疗措施与对照组基本相同。结果：实验组经纤维支气管灌洗后大部分患者体温不降，白细胞计数下降，气道分泌物减少，胸部X线及CT扫描：肺部感染明显好转。血气分析显示，大部分患者趋于正常。结论：纤堆支气管肺泡灌洗治疗重型颅脑损伤合并发肺部感染能缩短治愈时间，有较高的临床应用价值。Objective： Discuss fibre bronchoscope clinical value in being affected by within the severe disease skull brain loss merger lung. Method： Serious skull of example brain loss combines to affect a patient being that the experiment forms 25 examples mark and to contrast 25 set of example go along data counting within the lung to 50 , the experimental group 48 H adepts fibre bronchoscope drinks wine clear, the basic other, curing measure and contrasting a group is identical. Result： The experimental group does not descend by that the fibre bronchus lavage the most queen patient tempera- ture , WBC count come down , air flue secreta falls off, bosom X line and CT scan： The lung infects obvious improvement. That courage and uprightness analyses display , the most patient tends to become is regular. Conclusion： Fibre bronchus pulmonary alveoli lavage the time curing heavy type skull brain loss combining to send out lung infection being able to shorten a healing, have higher clinical practice value.

关 键 词：重症颅脑损伤 肺内感染 纤维支气管镜 

分 类 号：R651.1[医药卫生—外科学]