纤维支气管镜肺泡灌洗在中重度吸入性损伤中的应用疗效观察  

The effect of bronchoalveolar lavage in moderate to severe inhalation injury

作　　者：曲淑娟[1] 

机构地区：[1]中国医科大学附属一院鞍山医院,辽宁鞍山114000

出　　处：《中国冶金工业医学杂志》2015年第5期505-506,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的探讨纤维支气管镜肺泡灌洗技术在吸入性损伤中的应用疗效观察。方法对我院2012年1月～2014年1月期间40例烧伤的中重度吸入性损伤患者按是否采用纤维支气管镜肺泡灌洗治疗分成治疗组与对照组各20例，针对气道黏膜愈合时间，肺内感染发生率，痰培养阳性率及患者存活率，进行回顾性比较分析。结果治疗组气道黏膜平均愈合时间28天，肺内感染发生例数5例，痰培养阳性例数5例，患者存活例数19例；对照组气道黏膜平均愈合时闻35天，肺内感染发生例数10例，痰培养阳性例数10例，患者存活例数15例；结论烧伤伴有吸入性损伤患者采用纤维支气管镜肺泡灌洗技术可以显著提高气道黏膜愈合时闻，降低肺内感染发生率，降低痰培养阳性率，提高患者生存率。Objective To investigate the effect of bronehoalveolar lavage in the treatment of inhalation injury.Methods According to whether using the bronchoalveolar lavage,40 cases of burn with moderate to severe inhalation injury from January 2012 to January 2014 in our hospital were divided into treatment group and control group with 20 eases in each group.The healing time of airway mucosa,incidence rate of lung infection, the positive rate of sputum eulture and the survival rate were retrospectively compared and analyzed.Results In the treatment group, the average healing time of airway mucosa was 28 days,there were 5 cases with lung infection, 5 cases with positive sputum culture, 19 survival cases;In the control group,the average healing time was 35 days, lung infection occurred in 10 cases, there were 10 cases with positive sputum culture, 15 survival cases.Conclusion For the patients of burn with moderate to severe inhalation injury, bronchoalveolar lavage technique can significantly improve the healing time of the airway mucosa, reduce the incidence rate of pulmonary infection and positive sputum culture, and increase the survival rate.

关 键 词：烧伤 吸入性损伤 肺泡灌洗 纤维支气管镜 

分 类 号：R644[医药卫生—外科学]