纤维支气管镜灌洗与常规治疗对重症肺炎合并肺不张的临床疗效观察  

Clinical efficacy of bronchoalveolar lavage and conventional treatment for severe pneumonia complicated with atelectasis

作　　者：李进[1] Li Jin(Intensive Care Unit,the People＇s Hospital of Shapingba Distriet,Chongqing City 40003)

机构地区：[1]重庆市沙坪坝区人民医院重症医学科,400030

出　　处：《中国社区医师》2018年第24期13-13,15,共2页Chinese Community Doctors

摘　　要：目的:探讨支气管肺泡灌洗和局部注射抗生素治疗重症肺部感染并发肺不张的临床疗效。方法:收治重症肺部感染肺不张患者116例,分为对照组和观察组,均予以有创机械通气治疗。对照组采用全身应用抗生素治疗,观察组在对照组基础上加用经纤维支气管肺泡灌洗术治疗,比较两组治疗效果。结果:观察组的临床症状、ICU住院时间、治疗后PaO_2、PaCO_2和临床总有效率均显著优于对照组(P<0.05)。结论:纤维支气管肺泡灌洗治疗重症肺炎并肺不张可以有效解除支气管阻塞和肺部感染,降低临床症状发生率,提高临床治愈率。Objective：To investigate the clinical efficacy of bronchoalveolar lavage（BAL） and local injection of antibiotics in the treatment of severe pulmonary infection complicated with atelectasis.Methods：116 patients with severe pneumonia complicated with atelectasis were selected,they were divided into the control group and the observation group,the two groups were treated with invasive mechanical ventilation.The control group was treated with general application of antibiotics,and the observation group added with bronchoalveolar lavage via bronchoscope on the basis of the control group,we compared the therapeutic effect of the two groups.Results：In the observation group,the clinical symptoms,ICU hospitalization time,PaO2,PaCO2 after treatment and total clinical effective rate were significantly better than those in the control group（P〈0.05）.Conclusion：Bronchoalveolar lavage for severe pneumonia and atelectasis can effectively relieve bronchial obstruction and pulmonary infection,reduce clinical symptoms and improve the clinical cure rate.

关 键 词：纤维支气管镜 支气管肺泡灌洗 重症肺部感染 肺不张 

分 类 号：R563[医药卫生—呼吸系统]