摘要
目的:应用纤维支气管镜肺灌洗治疗颅脑损伤后有创通气性肺炎。方法:选择符合标准的62例颅脑损伤后有创通气性肺炎患者,在常规治疗基础上,每周做2次纤维支气管镜(肾上腺素1 mg、0.9%氯化钠250 ml、丁胺卡钠0.4 g或敏感抗生素)肺灌洗治疗。于入院时和治疗后7 d行血氧饱和度监测、动脉血气分析、胸部X线检查并进行临床综合评定。结果:患者的血氧饱和度及动脉血氧分压较入院时明显改善(P<0.05),灌洗治疗后较治疗前显著改善(P<0.01),总有效率89%。结论:纤维支气管镜肺灌洗治疗颅脑损伤后有创通气性肺炎疗效确切、安全可靠,灌洗液配制简单,易于推广。
Objective：To investigate the effects of lung lavage by bronchoscopy in the treatment of post-traumatic ventilator-aassociated pneumonia after craniocerebral injury.Method：62 patients with pneumonia after craniocerebral injury were recruited and received lung lavage.Lung lavage was performed twice in one week,based on standard medical treatment（epinephrine 1 mg,0.9% sodium chloride 250 ml and amikacin 0.4 g or sensitive antibiotic）.SaO2,arterial blood gases and X-ray manifestations were analyzed and comprehensive assessment of clinical data was performed on the first day before treatment and the 7th day after treatment.Result：The levels of patients of SaO2 and PO2 were elevated markedly（P0.05）.Compared with pretreatment,the treatment of lung lavage had statistically significant difference（P0.01）.The overall response rate was 89%.Conclusion：Lung lavage by bronchoscopy is a safe and effectual way and easy to popularize in the treatment of post-traumatic ventilator-aassociated pneumonia after brain trauma.
出处
《内蒙古医学杂志》
2011年第7期800-802,共3页
Inner Mongolia Medical Journal
关键词
纤维支气管镜
肺灌洗
肺炎
Bronchscopy
Lung Lavage
Invasive Ventilation
