便携式纤维支气管镜在慢性阻塞性肺疾病合并严重呼吸衰竭治疗中的应用价值  

Application Value of Portable Fiberoptic Bronchoscopy in the Treatment of Chronic Obstructive Pulmonary Disease With Severe Respiratory Failure

作　　者：王明将 WANG Mingjiang(Respiration Department, Suzhou Yongding Hospital, Suzhou Jiangsu 215200, China)

机构地区：[1]江苏苏州永鼎医院呼吸科,江苏苏州215200

出　　处：《中国继续医学教育》2017年第9期112-114,共3页China Continuing Medical Education

摘　　要：目的探讨便携式纤维支气管镜作用于慢性阻塞性肺疾病合并严重呼吸衰竭治疗中的有效性。方法选取我院收治的200例慢性阻塞性肺疾病合并严重呼吸衰竭的患者作为研究对象,随机将患者分为观察组和对照组,每组100例;对照组行喉镜直视下经口气管插管、常规负压吸痰序贯机械通气治疗,观察组行纤维支气管镜引导经鼻气管插管及经纤维支气管镜吸痰及支气管肺泡灌洗后序贯机械通气治疗。结果两组患者在一次性插管成功率、VAP发生率、病死率以及有创通气时间和呼吸衰竭纠正时间比较,观察组均明显占优(P<0.05)。结论便携式纤维支气管镜治疗慢性阻塞性肺疾病合并严重呼吸衰竭具有较好的效果。Objective To evaluate the portable bronchoscopy mirror effect in the treatment of copd with severe respiratory failure. Methods 200 cases of copd patients with severe respiratory failure were selected as the research object in our hospital, the patients randomly divided into observation group and control group, l（10 cases in each group. The control line laryngoscope under direct the breath tube intubation, conventional sputum suction negative pressure sequential mechanical ventilation therapy, observation group line fiber a mirror to guide the nasal endotracheal intubation by bronchoscopy and sputum suction lens and bronchoalveolar lavage after sequential mechanical ventilation treatment. Results Two groups of patients in the one-time success rate of intubation, the incidence of VAP and fatality rate and invasive ventilation time and respiratory failure to correct time comparison, the observation group were significantly better （P〈0.05）. Conclusion The treatment of chronic obstructive pulmonary disease complicated with severe respiratory failure with portable fiberoptic bronchoscopy has good effect.

关 键 词：慢性阻塞性肺疾病 严重呼吸衰竭 便携式纤维支气管镜 

分 类 号：R563[医药卫生—呼吸系统]