呼吸机依赖患者支气管镜检查结果分析

目的:探讨呼吸机依赖患者支气管镜检查结果的分析。方法:将ICU病区的24名呼吸机依赖患者行支气管镜检查,并取痰作细菌学检查。结果:支气管镜镜下表现有肺段开口堵塞,胃液反流,支气管痉挛,支气管内较多分泌物潴留,出血等。细菌学培养发现有肺炎克雷柏杆菌、铜绿假单胞菌、流感嗜血杆菌、金黄色葡萄球菌、曲菌、白色念珠菌。结论:呼吸机依赖患者如符合支气管镜检查的适应症,可对其行支气管镜检查,以进一步了解其产生呼吸机依赖的原因,有利于指导临床脱机。

Objectives：This study was designed to Explore Analysis of the results of bronchoscopy in Breathing machine dependent patients.Methods：Use the bronchoscope in 24 patients with Breathing machine dependency to detection and bacteriology training.Results：Find bronchoscopy Lung segment ＇Opening to block up,gastric juice reflow,bronchospasm,Endobronchial more secretion retention,bleeding,al;Cultivation of Bacteriology found Klebsiell pneumoniae,Pseudomonas aeruginosa,Haemophilus influenzae,staphylococcus aureus,aspergillus,candida albicans.Conclusions：Breathing machine dependent patients with such as bronchoscopy indications may bronchoscopy,to further understand the produces breath machine dependent reasons,facilitate clinical guidance withdraw.