摘要
目的探讨纤维支气管镜肺灌洗检查在危重症患者误吸早期的临床应用价值。方法患者随机分为观察组和对照组。观察组予以纤维支气管镜肺泡灌洗检查,对照组予以常规扣背、吸痰处理。结果误吸早期即可出现肺功能受损;空腹误吸组肺功能受损较餐后误吸组严重。对照组肺功能受损情况较观察组严重。空腹误吸组的抗生素使用时间、住院时间较餐后误吸组长;空腹误吸组死亡率明显高于餐后误吸组。观察组的抗生素使用时间、住院时间较对照组短;观察组的死亡率明显低于对照组。结论危重症患者误吸早期行纤支镜肺泡灌洗检查可减轻肺功能损伤。缩短抗生素使用时间、住院时间,降低死亡率。空腹误吸对肺的损害较餐后误吸更严重,死亡率较餐后误吸高。
Objective Explore fiberoptic bronchoseopy lung known as irrigation check in critically ill patients with dis- ease aspiration early value of clinical application. Methods Patients were randomly divided into trial group and control group. The observation group was checked by bronchoalveolar lavag, the control group to conventional buckle back, sucking phlegm processing. Results Aspiration early can appear damaged lung function; Fasting aspiration group is damaged lung function after the meal aspiration group of serious. The control group damaged lung function with the observation group serious. Fasting aspira- tion group of antibiotic use time, the length of time the time is after eating aspiration leader; Fasting aspiration group was signifi- cantly higher than the death rate after a meal of aspiration. The observation group of antibiotic use time, the length of time the short time is the control group; The observation group mortality rate was significantly lower than the control group. Conclusion Critically ill in patients with early aspiration do bronchoalveolar lavage examination can reduce pulmonary function damage. Shorten the time of use, the length of time the antibiotics, reduce mortality. Fasting aspiration to the lungs damage than after eating aspiration to be more serious, mortality rates than after the meal high aspiration.
出处
《实用心脑肺血管病杂志》
2012年第4期671-672,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
纤维支气管镜肺灌洗
危重症患者
反流误吸
Bronchoalveolar Lavage
Critically ill patients
Reverse flow aspiration
