摘要
目的观察床旁应用支气管镜肺泡灌洗术治疗重症脑梗死合并肺部感染的疗效。方法60例患者随机分为治疗组和对照组,对照组采用常规治疗,治疗组在常规基础上应用支气管镜肺泡灌洗术。观察治疗前后体温、痰菌、胸部影像学(X线胸片或胸部CT片)表现,并进行比较。结果与对照组相比,治疗组体温恢复正常时间明显缩短;痰细菌学转阴率显著提高;胸部影像学检查提示肺部炎症吸收加快。结论应用支气管镜肺泡灌洗术对重症脑梗死合并肺部感染患者的治疗具有良好的疗效。
Objective To observe the curative effect of bedside bronchoalveolar lavage in patients of pulmonary infection by severe cerebral infarction. Methods 60 patients were randomly divided into treatment group and control group,control group was given convention treatment, treatment group on this basis carried out bronchoalveolar lavage. Before and after treatment, observed and compared the body temperature, sputum,chest imaging（ chest X-ray film or chest CT）performance. Results Compared with the control group, body temperature of convalescent time returned to normal in treatment group significantly shortenly;bacterial clearance in sputum was significantly enhanced;chestimaging examination showed that absorption of lung inflammation was faster absorbed. Conclusion In severe cerebral infarction patients with pulmonary infection, application of bronchoalveolar lavage has a good effect.
出处
《临床合理用药杂志》
2010年第1期14-15,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
支气管肺泡灌洗
肺部感染
脑梗死
Bronchoalveolar lavage
Pulmonary infection
Cerebral infarction
