电子支气管镜吸痰对脑卒中后继发吸入性肺炎的治疗作用

目的探讨电子支气管镜在各种脑卒中后继发吸入性肺炎患者治疗中的临床应用价值。方法对38例既往曾确诊为脑卒中、后来继发吸入性肺炎，经一般内科抗感染、对症治疗效果不满意的住院患者使用电子支气管镜清除气管、支气管管腔内的痰液、痰栓、食物残渣及分泌物。根据病情需要注入抗生素保留灌注。结果33例明显缓解，3例病情变化不明显，2例继发呼吸衰竭死亡。结论电子支气管镜吸痰在脑卒中后继发吸入性肺炎的治疗中安全性好，效果明显，具有很高的临床应用价值。

Objective This is a perspective observational study to see the efficacy of electronic brochoscopic suction of sputum in the treatment of secondary aspiration pneumonia after apoplexy. Methods Thirty eight patients with secondary aspiration pneumonia after apoplexy who failed conventional medical treatment were treated with electronic bronchoscopic suction of sputum, sputum plugs, food debris, or mucus secretions. Some patients received additional intra-broncheal injection of antibiotics. Results Thirty three patients （86.8%） showed significant clinical improvement. Three patients （7.9%） showed no significant changes. Two patients （5.3%） died due to respiratory failure. Conclusion Electronic bronchoscopic suction of sputum is a safe and effective therapy in the treatment of secondary aspiration pneumonia after apoplexy.