纤支镜在烧伤患者肺不张及肺部感染治疗中的应用

Application of Bronchofiberscope for the Patient with Respiratory Tract Burn

目的总结纤支镜在重度烧伤患者肺部感染及肺不张治疗中的效果。方法回顾性分析该院42例重度烧伤患者伴肺部感染及肺不张患者的资料,分析其纤支镜治疗情况。结果 1次灌洗10例,2次灌洗29例,3次灌洗3例。显效34例(81.0%),有效6例(14.3%),无效2例(4.8%),总有效率为95.2%。2例终止操作,2例出现支气管出血。结论纤支镜支气管肺泡灌洗及局部给药治疗重症烧伤伴肺部感染、肺不张是一种安全、简便、实用、有效的治疗手段。

Objective To summarize the effect in the treatment of patients with severely burned and accompanied with pulmonary infection and pulmonary atelectasis. Methods Retrospective Analysis of the effect in the treatment of 42 patients with severely burned accompanied with pulmonary infection and pulmonary atelectasis. Results l0 patients was treatmennted with once bronchial lavage, 29 patients was treatmented with twice bronchial lavage, 3 patients was treatmented with threetimes bronchial lavage, 34 cases with obvious effect（81.0%）, 6 cases with remission （14.3%）,2 cases with no effect, effective ratio is 95.2%. 2 cases was stoped operation ,2 cases bronchial artery bleeding. Conclusion bronchial lavage is a simple,safe,useful and effective procedure for the treatment of patients with severely burned and accompanied with pulmonary infection and pulmonary atelectasis.