早期纤支镜吸痰治疗老年人吸入性肺炎所致急性心肺功能衰竭

Early bronchoscopic sputum suction in elderly patients with aspiration pneumonia-induced acute heart and lung failure

目的观察老年人吸入性肺炎早期纤支镜吸痰对改善急性心肺功能衰竭的临床疗效。方法在综合治疗的基础上早期进行纤支镜吸痰27例为治疗组,综合治疗25例为对照组,治疗后对反映心肺功能的指标(中心静脉压、左室射血分数、动脉血氧分压及二氧化碳分压)进行比较。结果治疗组中心静脉压及左室射血分数恢复正常、动脉血氧分压升高及二氧化碳分压下降的时间明显缩短,差异有显著意义(P<0.01)。结论早期纤支镜吸痰对抢救因吸入性肺炎所致的急性心肺功能衰竭是一项有效的措施。

Objective To observe the effect of early bronchoscopic sputum suction in elderly patients with acute heart and lung failure due to aspiration pneumonia. Methods Comprehensive treatments were administered for 52 elderly patients with acute heart and lung failure resulting from aspiration pneumonia, and in 27 of the patients, bronchoscopic sputum suction was performed with the other 25 serving as the control group. The indices of the heart and lung functions （central venous pressure, left ventricular ejection fraction, arterial blood partial pressures of oxygen and carbon dioxide） were measured after the treatment and compared between the two groups. Results Patients receiving bronchoscopic suction showed faster recovery of normal central venous pressure and left ventricular ejection fraction and more rapid increment of arterial partial pressure of oxygen and reduction of carbon dioxide partial pressure than those without the suction （P〈0.01）. Conclusion Early bronchoscopic sputum suction can be one of the effective emergency measures for rescuing acute heart and lung failure due to aspiration pneumonia.