经纤维支气管镜灌洗吸痰治疗肺部感染临床分析  

The bronchoscope suction lavage treatment analysis of 107 cases of pulmonary infection

作　　者：黄波[1] 兰远波[1] 申茂全[1] 

机构地区：[1]遵义医学院附属医院呼吸二科,贵州遵义563003

出　　处：《中国当代医药》2011年第25期5-6,共2页China Modern Medicine

摘　　要：目的:探讨肺部感染、肺不张纤维支气管镜治疗的效果及安全性。方法:回顾性分析经纤维支气管镜灌洗吸痰治疗肺部感染、肺不张107例。观察对比治疗前后X线胸片或胸部CT、临床表现、经皮血氧饱和度(SPaO2)、心率及呼吸等指标。结果:107例中93例治疗前后摄胸部X线(胸片)或胸部CT:肺全部复张,炎症吸收86例(92.47%),部分复张5例(5.38%),未复张2例(2.15%);96例查经皮血氧饱和度(SPaO2),由术前0.84±0.04上升至0.95±0.03,治疗前后比较差异有统计学意义(P<0.05),心率和呼吸均有所下降。结论:纤维支气管镜灌洗吸痰治疗肺部感染、肺不张疗效肯定、安全。Objective：To explore the pulmonary infection,atelectasis bronchoscopy treatment effects and safety.Methods：A retrospective analyzed by the bronchoscope suction lavage treatment of pulmonary infection,atelectasis 107 cases.Observed and compared before and after treatment or chest X-ray CT,clinical manifestations,percutaneous oxygen saturation（SPaO2）,heart rate and respiration were measured.Results：107 patients taken before and after treatment in 93 patients with chest X ray（chest） or chest CT：All reexpansion pulmonary inflammation absorption of 86 cases（92.47%）,partial re-expansion in 5 cases（5.38%）,2 cases（2.15%） did not re-expansion;investigation of 96 cases of percutaneous oxygen saturation（SPaO2）,from preoperative 0.84±0.04 increased to 0.95±0.03,differences before and after treatment were significantly（P〈0.05）,heart rate and breathing,had declined.Conclusion：Bronchoscope suction lavage treatment of pulmonary infection,atelectasis is effective and safe.

关 键 词：纤维支气管镜 肺部感染 肺不张 治疗 

分 类 号：R56[医药卫生—呼吸系统]