纤维支气管镜在急危重症治疗中的作用

The effect of fiber bronchoscopy in the treatment of the critical patients

目的通过对急危重症患者在治疗中应用纤维支气管镜,分析其在临床中的作用及意义。方法选择本院2010年1月～2011年1月所收治的急危重症患者380例,采用纤维支气管镜以及相关配套附件,纤维支气管镜从患者的鼻腔、口腔或者气管切开套管进入,按照常规观察患者病变部位的支气管情况并进行清洗,分析纤维支气管镜在急危重症治疗中的作用。结果 380例急危重症患者在临床中均成功应用纤维支气管镜导入。治疗后体温降低,白细胞、中性粒细胞降低至正常,胸片示病灶吸收好转,气道分泌物均明显减少,呼吸道症状均有改善。结论纤维支气管镜在危急重症患者治疗中起着重要的作用,值得临床推广应用。

Objective To analyze the effect and significance of fiber-optic bronchoscopy by treat critically patients.Methods This study selected 380 critically patients＇ cases in author＇s hospital from January 2010 to January 2011, adopted fiber-optic bronchoscopy and related accessories to analyze the effect of fiber-optic bronchoscopy in treating Critically patients, and fiber-optic bronchoscopy enter from the patient＇s nasal cavity, mouth cavity or tracheotomy cannula.Results 380 cases critically patients all had been successfully adopted fiber-optic bronchoscopy import. After treatment, body temperature cool down, white corpuscle and neutrophils came down to the normal level, and chest radiography showed that the focus absorption obviously changed to better, the excretions of respiratory tract obviously reduced and the symptoms of respiratory tract were improved.Conclusion Fiber-optic bronchoscopy has important effect in treatment of critically patients, worth to adopt in clinical application.