ICU机械通气患者纤维支气管镜应用观察

The use of fiberoptic bronchoscope on the patients with mechanical ventilation in ICU

目的探讨ICU机械通气肺不张患者纤维支气管镜(纤支镜)检查和肺灌洗治疗的有效性和安全性。方法总结70例ICU机械通气肺不张行纤支镜检查和肺灌洗治疗患者的病历资料。结果70例共80次纤支镜检查和肺灌洗治疗,完全有效40.0%,有效40.0%,部分有效14.2%,无效5.7%,总有效率94.23%。PaO2由治疗前(53±6)mm Hg升至治疗后(89±9)mm Hg,无并发症。结论ICU机械通气肺不张患者纤支镜检查和肺灌洗治疗有效、安全。

Objective To explore the efficacy and safety of the treatment with fiber optic bronchoscope on the patients with mechanical ventilation in ICU. Methods 70 cases of patients with ICU mechanical ventilation, who received fiber optic bronchoscope examination and lung-lavage treatment were retrospectively reviewed. Results Among the 70 cases of the patients, total 80 times of fiberoplic bronchoscope examinations and lung-lavage treat- ments were made. The rate of cure, efficacy, partial response and in efficiency was 39.6%, 41.5 96,13.5 96 and 5.6 96 respectively,and the overall response rate is 94.3 %. By this way PaO2 increased significantly from （53±6） mmHg to （89±9）mmHg. No serious complications occurred. Conclusion Fiberoptic bronchoscope examination and lung-lavage treatment could be safety and efficacy for the patients with ICU mechanical ventilation.