摘要
目的探讨床边纤维支气管镜技术在重症监护室(ICU)气管切开老年危重患者临床价值。方法对ICU病房气管切开58例老年危重患者进行床旁纤维支气管镜检查和吸痰、支气管肺灌洗治疗,并对其痰标本阳性率、超敏C反应蛋白(HsCRP)、体温(T)、白细胞(WBC)变化以及胸片的变化进行前后自身对照。结果经纤支镜留取的痰标本痰培养阳性率明显高于常规途径留取的痰标本培养,治疗前后超敏C反应蛋白(CRP)、体温(T)、白细胞(WBC)指标以及胸片检查均明显好转(P<0.05)。结论床边纤维支气管镜技术可以提高老年气管切开危重患者肺部感染的诊断准确性、治疗有效性,在ICU值得作为一种常规检查、治疗手段应用。
【Objective】To investigate the clinical value of bedside bronchofibroscopy（BFS） for elderly critically patients after tracheotomy in ICU.【Methods】Bedside BFS examination and lung lavage were administered to 58 elderly critically patients after tracheotomy in ICU.Positive rate of sputum sample,temperature,white blood cell,high-sensitivity C-reactive protein and chest X-ray were observed before and after the treatments.【Results】The positive rate of sputum sample got from BFS was obviously higher than that from routine method.The temperature,white blood cell,high-sensitivity C-reactive protein and chest X-ray were improved significantly（P 0.05） after the treatment.【Conclusion】Bedside BFS is worthy to develop as an early diagnosis technique and routine treatment for elderly critically patients after tracheotomy in ICU.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第12期1322-1324,1326,共4页
China Journal of Endoscopy
