摘要
目的:观察经纤维支气管镜肺泡灌洗治疗急性重症肺炎的临床价值。方法:31例重症肺炎患者在常规治疗基础上行支气管肺泡灌洗,并与同期26例常规治疗患者作比较,观察两组病例的治疗疗效,记录并分别比较两组在灌洗前及灌洗后48h的急性生理学和慢性健康状况Ⅱ(APACHEⅡ)评分、急性肺损伤评分和肺感染评分。结果:灌洗组患者在灌洗48h后与非灌洗组相比,各项评分均有显著下降,明显低于非灌洗组(P〈0.05);灌洗组总有效率为93.5%,与非灌洗组总有效率76.9%相较有显著性差异(P〈0.05)。结论:经纤维支气管镜肺泡灌洗治疗急性重症肺炎,疗效确切,可缩短病程,提高治愈率。
Objective To explore the clinical value of bronchoalveolar larage (BAL) in the treatment of severe pneumonia. Methods 57 patients were randomly divided into BAL group and non-BAL group, 31 patients in the BAL group received BAL in addition of roution treatment and 26 patients had only roution treatment in the non-BAL group. The effect of the 2 groups was observed and APACHE 1I score, Acute Lung injury score, Pulmonary infection score were compared Comparisons between the 2 groups. Results compared to the non-BAL group, efficient in the BAL group was 93.5% but 76.9% in the non-BAL group. APACHE Ⅱ score, Acute Lung injury score, Pulmonary infection score in the BAL group were significantly lower than in the non-BAL group. Conclusion bronchoalveolar larage was effective in the treatment of severe pneumonia, and shortening the course and improving the cure rate.
关键词
支气管肺泡灌洗
纤维支气管镜
重症肺炎
Bronchoalveolar lavege Severe pneumonia Fiberoptic bronchoscopy