经纤支镜肺泡灌洗治疗难治性下呼吸道感染临床分析

目的探讨纤维支气管镜支气管肺泡灌洗术在难治性下呼吸道感染的治疗价值。方法 60例难治性下呼吸道感染患者进行纤维支气管镜支气管肺泡灌洗(BAL)检查,灌洗液送细菌培养,根据细菌培养结果,针对细菌敏感性药物对症治疗。结果 60例难治性下呼吸道感染患者BAL治疗均取得良好疗效。结论纤维支气管镜支气管-肺泡灌洗检查,对于难治性下呼吸道感染患者,是一种相对安全而有效的治疗方法。

Objective to discuss the therapeutic value of bronchoscopy bronchoalveolar lavage in refractory lower respiratory tract infections.Methods 60 patients with intractable lower respiratory tract infection were examined with bronchoscopy bronchoalveolar lavage （bronchoalveolar lavageby bronchofibroscopy,BAL） ,bacteriological culture fluid delivery,according to the results of bacterial culture,symptomatic treatment with drug against bacterial sensitivity.Results 60 cases of refractory BAL treatment of lower respiratory tract infection have achieved good effect.Conclusion Bronchoscopy bronchus - lavage examination,for patients with refractory lower respiratory tract infection,is a relatively safe and effective treatment.