摘要
目的探讨床旁纤维支气管镜(纤支镜)在危重症呼吸衰竭患者中的临床应用价值。方法选择2010年7月—2013年10月我院ICU和RICU收治的88例危重症呼吸衰竭患者,均进行了床旁纤支镜诊疗技术。结果本组患者中37例行纤支镜引导经鼻气管插管均获得成功,插管时间为30 s^3 min。51例患者经纤支镜介入行气道廓清术,吸出痰痂、异物后肺炎、肺不张并发呼吸衰竭症状明显改善,其中21例次下呼吸道吸引和灌洗液标本检出病原微生物,细菌、真菌培养阳性率为67.7%。本组患者未发生严重并发症和死亡。结论对危重症呼吸衰竭患者实施床旁经纤支镜引导经鼻气管插管,借助纤支镜行气道廓清术以解除气道阻塞、改善肺部通气及采集下呼吸道分泌物行病原学检查是较为安全、有效的,值得临床推广应用。
Objective To investigate the clinical application of bedside bronchoscope in critically ill patients with re-spiratory failure. Methods From July 2010 to October 2013,a total of 88 critically ill patients with respiration failure were se-lected and treated by bedside bronchoscope. Results 37 out of the 88 patients successfully underwent nasotracheal intubation guided by bedside bronchoscopy,the intubation time was 30 seconds to 3 minutes. The other 51 patients underwent airway clear-ance guided by bedside bronchoscopy,and the symptoms of pneumonia,atelectasis and respiratory failure were improved after as-piration of sputum and foreign body;thereinto 21 cases obtained etiologic diagnosis and the positive rate was 67. 7% . No serious complications and death occurred. Conclusion Nasal trachea cannulae guided by bedside bronchoscope,airway clearance and bronchoalveolar lavage in critically ill patients with respiratory failure is safe and effective,is worthy of promotion on clinical.
出处
《实用心脑肺血管病杂志》
2014年第7期54-55,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
