支气管镜在呼吸衰竭并肺不张患者诊治中的安全性研究

STUDY ON SAFETY OF DIAGNOSIS AND TREATMENT BY BRONCHOSCOPE IN PATIENTS SUFFERING FROM RESPIRATORY FAILURE COMBINING WITH ATELECTASIS

目的:探讨呼吸衰竭合并肺不张患者,实施纤维支气管镜(纤支镜)检查、治疗的安全措施及安全性。方法:37例呼吸衰竭并肺不张患者,在有创机械通气支持下,作纤支镜诊治术。术中严密监测主要生命体征:心率、血压、血氧饱和度及心电示波,将术中及术后生命体征与术前对照。结果:共作纤支镜诊治术53例次,均术程顺利,未出现并发症。术中及术后生命体征稳定,与术前比较均无明显改变(P>0.05)。结论:在有创机械通气支持下,为各类呼吸衰竭并肺不张的患者作纤支镜诊治术,具有良好的安全性。

objective： To discuss the safe measures and the safety of examining and treating through fibrous bronchoscope in patients suffering from respiratory failure combining with atelectasis. Method： 37 patients suffering from respiratory failure combining with atelectasis were chosen and applied diagnosis and treatment thought fibrous bronchoscope supported by invasive mechanical ventilation. The primary vital signs such as hreat rate （HR）, blood pressure （BP）, blood oxygenous saturation （SpO2） were checked. Those data during and after operation with those before operation were compared.Result： 53 were finished smoothly without any intercurrent disease. The vital signs during and after operation were stable and hadn＇t obvious changes compared with those before operation （P〉0.05） .Conclusion： Diagnosing and treating through fibrous bronchoscope in patients suffering from all kinds of respiratory failure combining with atelectasis suppored by invasive mechanical ventilation had nice safety.