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目的研究纤维支气管镜(纤支镜)下支气管肺泡灌洗术对肺部重症感染的治疗方法及临床效果。方法将各种肺部重症感染患者随机分为治疗组和对照组,治疗组在常规抗感染基础上通过纤支镜向病变部位注入0.9%氯化钠灌洗液;对照组采用常规抗感染、止咳化痰、体位引流或机械辅助排痰等方法综合治疗,观察其临床治疗效果。结果治疗2周后,治疗组总有效率为90.9%,对照组为68.8%。结论经纤维支气管镜下支气管肺泡灌洗术对肺部重症感染患者能有效去除肺部痰液阻塞,促进气道痰液引流,感染控制快,即时改善患者通气功能,提高疗效,缩短疗程,减少医疗费用。支气管肺泡灌洗术治疗肺部重症感染疗效显著,安全可靠,简便易行,值得临床推广。
Objective To study the treatment and clinical effects of bronchial bronchoalveolar lavage (broncho-bronchoscopy) on severe lung infections. Methods All patients with severe pulmonary infection were randomly divided into treatment group and control group. The treatment group was injected with 0.9% sodium chloride lavage fluid through the bronchofiberscope on the basis of conventional anti-infection. The control group was treated with routine anti-infective, Cough and phlegm, body drainage or mechanical assisted sputum and other methods of comprehensive treatment to observe the clinical effect. Results After 2 weeks of treatment, the total effective rate was 90.9% in the treatment group and 68.8% in the control group. Conclusion Bronchial bronchoalveolar lavage (BALF) can effectively remove the obstruction of pulmonary sputum and promote the drainage of airway sputum. The infection control is quick and the ventilation function is improved immediately to improve the curative effect, shorten the course of treatment and decrease Medical expenses. Bronchoalveolar lavage for the treatment of severe pulmonary infection has a significant effect, safe, reliable, simple and easy, worthy of clinical promotion.