支气管肺泡灌洗治疗重症肺部感染37例临床观察

Clinical efficacy of bronchoalveolar lavage in treatment of patients with severe pulmonary infection

目的探讨经纤维支气管镜行支气管肺泡灌洗在重症肺部感染治疗中的临床价值。方法将74例患者随机分为灌洗组和非灌洗组,每组37例。灌洗组在常规治疗基础上加支气管肺泡灌洗,非灌洗组采用常规治疗,观察两组病例的治疗效果。结果灌洗组患者经纤维支气管镜肺泡灌洗治疗后临床症状有明显改善,总有效率为94.59%,非灌洗组为62.16%;灌洗前后血气分析指标有统计学意义。结论支气管肺泡灌洗治疗重症肺部感染疗效可靠,提高治愈率,有较高的临床应用价值。

Objective To explore the clinical value of bronchoalveolar lavage （BAL） using the fiberoptic bronehoseope in treatment of patients with severe pulmonary infection. Methods Seventy-four consecutive patients hospitalized with severe pulmonary infection were randomly and equally divided into BAL group and non-BAL group. In the BAL group, patients received BAL in addition to routine treatment, and those in the non-BAL group received only routine treatment. Results The total response rate of the BAL group was 94.95%, and that of non-BAL group was 62.16%. Conclusion BAL is a safe and effective treatment for patients with severe pulmonary infection.