肺泡灌洗治疗高血压脑出血并发肺感染的临床观察

Clinical observation on alveolar lavage treatment for hypertension cerebral hemorrhage complicated with lung infection

目的探讨肺泡灌洗治疗高血压脑出血并发肺感染的临床效果。方法选取67例重症高血压脑出血并发肺感染患者（GCS评分4～8分）随机分为对照组（33例）和观察组（34例）对照组患者采取常规气管切开术；观察组患者在对照组基础上于术后行支气管肺泡灌洗，对两组患者临床治疗效果进行对比和分析。结果观察组总有效率、治疗后白细胞数量及感染控制时间较对照组比较有差异显著性（P〈0．05）。结论对重症高血压脑出血并发肺感染患者治疗中，于气管切开术后行支气管肺泡灌洗，能够有效控制肺部感染症状，同时还能缩短患者住院时间。

Objective To study the clinical effect of alveolar lavage treatment for hypertension cerebral hemorrhage complicated with lung infection. Methods 67 cases with severe hypertension cerebral hemorrhage complicated lung infection were selected （GCS score 4 to 8 points） and randomly divided into control group （33 cases） and the observation group （34 cases）. Control group patients took regular tracheotomy; the observation group patients was added with postoperative line bronchoalveolar lavage based on regular treatment, clinical treatment effects of the two groups were compared and analyzed. Results The total effective rate, after treatment leucocyte number and infection control time of observation group were all significantly better those of control group with significant difference （P〈0.05）. Conclusions The severe hypertension cerebral hemorrhage complicated with lung infection treated in tracheotomy anastomosed bronchoalveolar lavage, can not only effectively control the symptoms of lung infection, but also shorten hospitalization time, and improve patients＇ survival rate.