纤维支气管镜支气管肺泡灌洗术治疗重症肺部感染临床研究

The Clinical Application of Bronchoalveolar Lavage by Way of Fibrobronchoscopy on Patients with Pulmonary Infection

目的:探讨纤维支气管镜(简称纤支镜)肺泡灌洗术在治疗肺部感染性疾病的疗效。方法:共从内科系统中入选社区获得性肺炎和医院获得性肺炎患者122例,将其分为二组,治疗组:传统治疗加纤支镜肺泡灌洗术治疗肺部感染,共52例;对照组:传统方法治疗肺部感染,共70例。结果:两组病例在发热时间,咳嗽,咳痰及肺部罗音消失时间,住院日,抗生素使用时间,治愈率和死亡率方面对比均有显著性差异(P<0.05)。结论:纤支镜肺泡灌洗术在治疗肺部感染性疾病的疗效确切,且术中危险性小,值得推广。

Objective： To explore bronchofibroscopic bronchus-alveolus lavage in the treatment of pulmonary infection of the disease effect. Methods： A total of 122 patients selected from the medical system of community-acquired pneumonia and hospital-acquired pneumonia enrolled in this study, according to its order of admission they were divided into two groups. Treatment group received the traditional therapy plus bronchofibroscopic bronchus-alveolus lavage for pulmonary infection, a total of 52 cases. Control group received the traditional method alone, a total of 70 cases. Results： There were significant differences in fever, cough, sputum and rales＇ disappearance, hospitalization, antibiotic using time, the cure rate and mortality between two groups （P〈0.05）. Conclusion： Bronchofibroscopic bronchusalveolus lavage in the treatment of pulmonary infection is effective, less dangerous, so it is worth promoting.