摘要
目的探讨及评价纤支镜大量生理盐水肺泡灌洗治疗肺脓肿临床疗效。方法采用纤支镜大量生理盐水肺泡灌洗加常规治疗肺脓肿36例与传统纤支镜支气管灌洗加局部注药加常规治疗28例作为对照。结果治疗组治愈26例,好转9例,无效1例;对照组治愈16例,好转8例,无效4例。两组灌洗次数比较(χ2=29.776)及治愈率比较(χ2=7.221)差异具有统计学意义(P<0.01)。治疗组的发热、咳嗽咳痰消失以及住院时间均较对照组明显缩短(P<0.01)。结论在常规内科治疗的基础上使用经纤支镜单纯大量生理盐水肺泡灌洗治疗肺脓肿的方法简单易行,临床症状迅速缓解,能显著提高疗效,缩短住院时间,是一种安全的方法,在临床上有推广价值。
Objective To Discuss and evaluate the clinical effects of fiberbronchoscope saline lavage treatment on pulmonary abscess. Methods 36 cases of pulmonary abscess were treated by using a large number of saline lavage togather with traditional bronchoscopy bronchial lavage while 28 cases were treated with tradional brochoscopy layage and local injection combining with conventional therapy. Results In the treatment group, 26 cases cured wereas a result of 9 cases of improvement and 1 case of invalid;In the control group, 16 cases were cured as a result of 8 cases of improvement and 4 case of invalid. There is a very significant differeces in the comparison of the irrigation frequency（x^2=29. 776） and the recovery rates（x^2= 7. 221） in the two groups are P〈0.01. Conclusion The methods of the conventional medical treatment based on fiberbronchoscope lavage in treating lung abscess with a large number of saline alone is simple and after the treatment, the clinical symptoms could be alleviated quickly,and the efficiency of the therapy can be significantly improved as well. So, it is worthy of spreading the method in clinic.
出处
《检验医学与临床》
CAS
2010年第7期609-610,共2页
Laboratory Medicine and Clinic
关键词
纤支镜
诊断
治疗
肺脓肿
肺泡灌洗
fiberbronchoscope
diagnosis
treatment
lung abscess
lavage
