紧急纤维支气管镜在老年高危患者中的应用

Application of emergency fiberoptic bronchoscopy in the critically ill aged patients

目的 研究紧急纤维支气管镜 (纤支镜 )在老年高危患者中的应用。方法 老年急危重症患者 77例 ,其中急性生理和慢性健康评估 (APACHEⅡ )计分 >14分者 65例。所有患者共行 10 2例次紧急纤支镜操作 ,其中肺泡灌洗、气道分泌物吸引 76例次 ;纤支镜引导下经鼻气管插管 19例次 ;异物吸出 6例次。结果 10 2例次紧急纤支镜操作抢救总有效率为 80 .3 % ,无危及生命的并发症发生。结论 紧急纤维支气管镜是抢救急危重症患者呼吸道病变紧急处理的有力武器 ,高龄严重心。

Objective To study the application of emergency fiberoptic bronchoscopy in the critically ill aged patients. Methods There were 102 times of emergency fiberoptic bronchoscopy performed in 77 critically ill aged patients, of whom 65 cases had APACHEⅡscore >14, 76 had alveolar lavage and bronchal suction, 19 through nasal intubation, and 6 of suction for foreign body. Results The rate of success was 80.3% without life threatening complications. Conclusion Application of emergency fiberoptic bronchoscopy plays an important role in the critically ill aged patients with acute severe respiratory illness, severe pulmonary and heart function impairment are not absolute for contraindication.