经肺导管应用碘伏及硝酸银治疗难治性肺感染及耐药肺结核(附36例报告)  

The Serumal Level and Clinical Significance of (sI CAM 1)and Endothelin(ET 1)in Patients with Variant Asthma

作　　者：武广华[1] 张黎明[1] 白雪莹[1] 董海新[1] 史秀华[1] 

机构地区：[1]济宁医学院附属医院,272029

出　　处：《山东医药》1999年第20期5-6,共2页Shandong Medical Journal

摘　　要：对２４ 例难治性肺感染及１２ 例耐药肺结核患者进行纤支镜检查，并用防污染毛刷取样做病原学检查后用０５％ 碘伏灌洗感染部位，粘膜糜烂明显时局部喷洒０５％ 硝酸银，并留置肺导管，每天经肺导管向支气管内注入０５％ 碘伏５～１０ｍ ｌ。结果显示：常见耐药菌（包括耐药结核杆菌）均对碘伏敏感，３６ 例患者均治愈。认为经肺导管灌注碘伏及硝酸银稀释液治疗难治性肺感染及多重耐药肺结核方法简单，经济可靠。sICAM 1 and endothdinl(ET 1)in peripheral blood were measured by radioimmunal method in 35 cases with variant asthma Compared with normal control group,the level of sICAM 1 and ET 1 significantly increased(P<0 001);compared with ordinary asthma,they were similar during attack period(P>0 05);but significant difference were found during relief period The result indicated that sICAM 1 and ET 1 played an important role in the attack of asthma and could be regarded as a marker in the evaluation of disease condition

关 键 词：肺感染 肺结核 碘伏 硝酸银 导管插入术 

分 类 号：R563.05[医药卫生—呼吸系统] R521.05[医药卫生—内科学]