抢救呼吸系统急危重症患者中床边纤维支气管镜的应用

Application of bedside fiberoptic bronchoscopy in rescuing patients with respiratory system critically ill

目的:分析抢救呼吸系统急危重症患者中床边纤维支气管镜的应用效果。方法:收治呼吸系统急危重症患者24例,对其进行纤维支气管镜检查治疗,分析观察患者治疗前后PaO_2(血氧分压)、PaCO_2(动脉血二氧化碳分压)、pH各项血气指标的改善情况,以及治疗前后心率、体温及呼吸频率等指标的变化情况。结果:经纤维支气管镜抢救治疗后,患者PaO_2较抢救前有所上升,PaCO_2呈下降趋势,差异有统计学意义(P<0.05);患者呼吸频率、心率均较抢救前有所下降,差异有统计学意义(P<0.05)。结论:纤维支气管镜对清除呼吸系统急危重症患者气道分泌物、改善患者通气功能等具有重要作用,是一种安全、有效的治疗方式。

Objective:To analyze the application effect of bedside fiberoptic bronchoscopy in rescuing patients with respiratory system critically ill.Methods:24 patients with respiratory system critically ill were selected.All patients were treated with fiberoptic bronchoscopy.We analyzed and observed PaO_2(partial pressure of oxygen),PaCO_2(partial pressure of arterial carbon dioxide),p H,the improvement of various blood parameters,as well as changes of heart rate,body temperature and respiratory rate before and after treatment.Results:After the treatment by bronchoscopy,the PaO_2 of the patients increased and the PaCO_2 decreased,the difference was statistically significant(P<0.05).The respiratory rate and heart rate of the patients were decreased compared with those before the rescue,and the difference was statistically significant(P<0.05).Conclusion:Fiberoptic bronchoscopy plays an important role in clearing the airway secretions and improving the ventilation function of patients with acute respiratory distress syndrome,and it is a safe and effective way of treatment.