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目的 :分析我院成功抢救的120例重症肺炎并呼吸衰竭患者的临床资料,总结治疗经验。方法 :回顾性分析我院2010年9月至2014年12月接收诊治的重症肺炎并呼吸衰竭患者120例,随机均分为研究组和对照组,研究组采用电子支气管肺泡灌洗术,对照组采用常规治疗,观察两组的治疗效果,并对比分析两组患者的Pa O2、Pa CO2指标和氧合指数差异。结果 :术后24小时、48小时两组患者的Pa O2指标、氧合指数均有不同程度的升高,而Pa CO2指标则均有不同程度的下降,但研究组患者的Pa O2和氧合指数明显高于对照组、Pac O2明显低于对照组,P<0.01有显著性差异;术后10天,研究组的总有效率为88.8%,对照组总有效率为46.7%,P<0.01有显著性差异。结论 :应用电子支气管肺泡灌洗术能够有效地治疗重症肺炎并呼吸衰竭,值得临床推广与应用。
Objective: To analyze the clinical data of 120 patients with severe pneumonia and respiratory failure who were successfully rescued in our hospital and summarize the experience of treatment. Methods: A retrospective analysis of our hospital from September 2010 to December 2014 received diagnosis and treatment of severe pneumonia and respiratory failure in 120 patients were randomly divided into study group and control group, the study group using electronic bronchoalveolar lavage, the control group The routine treatment was used to observe the therapeutic effect of the two groups. The differences of Pa O2, Pa CO2 and oxygenation index were compared between the two groups. Results: After 24 hours and 48 hours, the Pa O2 and oxygenation index of both groups increased to some extent, while the Pa CO2 index decreased to some extent. However, Pa O2 and oxygenation The index was significantly higher than the control group, Pac O2 was significantly lower than the control group, P <0.01 significant difference; 10 days after the study group, the total effective rate was 88.8%, the control group, the total effective rate was 46.7%, P <0.01 There are significant differences. Conclusions: The application of electronic bronchoalveolar lavage can effectively treat severe pneumonia and respiratory failure, which is worthy of clinical application and promotion.