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目的:探讨床旁纤维支气管镜的应用价值。方法:回顾性分析160例常规治疗无效或不理想,肺部感染加重或合并肺不张,外科术后患者、多发伤、复合伤、内科危重病并发肺部感染、呼吸衰竭的患者,在监护条件下,进行床旁纤维支气管镜下吸痰、支气管肺泡灌洗治疗,观察经皮血氧饱和度(SPO2)、动脉血气分析、病原学检查、临床症状、呼吸机参数和肺部CT改变。结果:显效104例,有效48例,总有效率95%。结论:对严重肺部感染的患者使用床旁纤维支气管镜吸痰及灌洗,有助于明确病原微生物及指导抗生素使用,可较彻底清除大气道内分泌物,明显改善通气功能,肺部感染得到及早控制。
Objective: To explore the value of bedside fiberoptic bronchoscopy. Methods: A retrospective analysis of 160 cases of conventional treatment ineffective or not ideal, aggravated pulmonary infection or atelectasis, surgical patients, multiple injuries, multiple injuries, medical critical illness complicated with pulmonary infection, respiratory failure in custody Under the condition of bedside fiberoptic bronchoscopy sputum aspiration, bronchoalveolar lavage treatment, observation of percutaneous oxygen saturation (SPO2), arterial blood gas analysis, etiological examination, clinical symptoms, ventilator parameters and lung CT changes. Results: 104 cases markedly effective in 48 cases, the total efficiency of 95%. Conclusion: The use of bedside fiberoptic bronchoscopy for sputum aspiration and lavage in patients with severe pulmonary infection can help to clarify the use of pathogenic microorganisms and guide antibiotics. It can thoroughly clear the airway secretions, significantly improve ventilation function, lung infection Early control.