摘要
目的 :探讨纤维支气管镜(纤支镜)选择性肺段引流控制重度肺部感染的效果。方法 :收集2014年3月至2017年5月收治的脑卒中伴重症肺炎患者568例,通过随机抽样法分为治疗组和对照组各284例。对照组采用抗生素常规治疗,治疗组在常规治疗基础上采用纤支镜进行选择性肺段灌洗引流治疗。观察两组治疗效果、脱机及人工辅助呼吸情况。结果 :治疗组总有效率为94.6%(268/284),高于对照组的86%(164/284,P <0.01)。治疗组气管插管拔除口鼻插管时间为3~36 d,274例成功拔除插管或封管;对照组拔除口鼻插管时间为10~42 d,242例成功拔除插管或封管。结论 :用纤支镜行选择性肺段引流控制重度肺部感染效果佳,能明显改善脑卒中重度肺部感染患者的临床状况。
Objective： To explore the efect of selective pulmonary segmental drainage under fberoptic bronchoscopy in the treatment of severe pulmonary infection. Methods： A total of 568 patients with severe pneumonia who were admitted to the hospital from March 2014 to May 2017 were enrolled and divided into a treatment group and a control group with 284 cases each by random sampling. The control group was treated with antibiotic routine treatment, on the basis of routine treatment, the treatment group used fberoptic bronchoscope for selective lung segment lavage and drainage. The therapeutic efect, ofine and artifcial respiration of the two groups were observed. Results： The total efective rate in the treatment group was 94.6%（268/284）, which was higher than 86% in the control group（164/284, P〈0.01）. The time of tracheal intubation and extubation in the treatment group was 3~36 d, and 274 cases were successfully removed or intubated; in the control group, the time of removal of nasal and oral intubation was 10~42 d, and 242 cases were successfully removed or intubated. Conclusion： Selective segmental drainage with fiberoptic bronchoscopy is effective in controlling severe pulmonary infection, and can signifcantly improve the clinical status of patients with severe pulmonary infection after stroke.
作者
李鲁萍
查峰
岳尧尧
LI Luping;ZHA Feng;YUE Yaoyao(ICU of Blue Cross Brain Hospital,Shanghai 201101,China)
出处
《上海医药》
CAS
2018年第18期25-27,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
脑卒中
肺部感染
纤支镜灌洗
多种耐药菌
stroke
pulmonary infection
bronchoalveolar lavage
multidrug resistant bacteria
