经纤维支气管镜沐舒坦肺泡灌洗在颈脊髓损伤并发呼吸功能衰竭患者中的应用  

Fiberoptic bronchoscopy aspirating sputum and mucovent lavage in the treatment of cervical spinal cord injury with respiratory insufficiency patients

作　　者：路闯[1] 袁宏伟[1] 刘俊杰[2] 代振动[1] 王灿亚[1] 田俊华[1] 贾会光[1] 赵惠强[1] 

机构地区：[1]解放军第159医院骨外科,河南驻马店463000 [2]解放军第159医院呼吸内科,河南驻马店463000

出　　处：《中国内镜杂志》2011年第3期289-291,共3页China Journal of Endoscopy

摘　　要：目的探讨颈脊髓损伤并发呼吸功能衰竭患者经纤维支气管镜沐舒坦肺泡灌洗的疗效。方法选择38例经常规吸氧、抗感染、解痉平喘、化痰止咳或人工通气治疗效果不佳,并具有痰液堵塞的颈脊髓损伤并发呼吸衰竭患者进行经纤支镜沐舒坦支气管肺泡灌洗治疗。结果显效26例(68.4%),有效9例(23.7%),总有效率为92.1%,无效3例(7.9%)。结论对于分泌物较多难以排出气道的颈脊髓损伤并发呼吸衰竭患者,及时给予经纤支镜沐舒坦肺泡灌洗,有利于迅速解除气道阻塞,改善血气交换。支气管吸引灌洗技术是一种安全有效、简便经济、易被患者接受的治疗方法,应用沐舒坦肺泡灌洗治疗颈脊髓损伤并发呼吸衰竭能改善病情。Objective To investigate the clinical values of aspirating sputum by bronchofibroscopy and bronchoalveolar mucovent lavage in cervical fracture with spinal cord injury patients respiratory insufficiency.Methods Bronchoscope was inserted into 38 patients cervical spinal cord injury with respiratory insufficiency through nose or tracheal catheter to clear the secretion,phlegm.Results 35 lives were saved and the mission successful rate was 92.1%.Conclusions The clinical values of bedside fiberoptic bronchoscopy for cervical fracture with spinal cord injury patients respiratory insufficiency are grateful.

关 键 词：颈椎 脊髓损伤 呼吸功能不全 纤支镜 灌洗 沐舒坦 

分 类 号：R653[医药卫生—外科学] R56[医药卫生—临床医学]