报道用纤支镜肺泡灌洗(BAL)治疗严重肺部感染合并呼衰43例,其中男性32例,女性11例,年龄23～78岁,平均56.3岁。慢阻肺16例,支气管扩张12例,脑血管意外9例,外科手术6例均合并严重肺部感染及Ⅱ型呼衰,其中12例合并肺脑。结果显示:经BAL治疗,咳嗽、咳痰、气促明显好转38例,有效2例、无效3例、发热12例、10例恢复正常;白细胞升高27例,25例恢复正常。治疗前29例痰培养出致病 Reported with bronchoscopy bronchoalveolar lavage (BAL) treatment of severe pulmonary infection in 43 cases of respiratory failure, including 32 males and 11 females, aged 23 to 78 years, mean 56.3 years. 16 cases of COPD, 12 cases of bronchiectasis, 9 cases of cerebrovascular accident and 6 cases of surgical operation were complicated with severe pulmonary infection and type Ⅱ respiratory failure, 12 cases were complicated with pulmonary and brain. The results showed that 38 cases were cured of cough, expectoration and shortness of breath after treatment with BAL, 2 cases were effective, 3 cases were ineffective, 12 cases were fever, 10 cases returned to normal, 27 cases were elevated white blood cells and 25 cases returned to normal. 29 cases of sputum culture before the disease