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目的探讨纤维支气管镜在胸外科、腹部外科和神经外科术后并发肺不张及肺部感染中的应用。方法回顾性分析2006年12月至2011年8月应用纤维支气管镜治疗术后肺不张、重度感染患者的临床资料。结果应用纤维支气管镜成功诊治55例次,成功率100%,吸痰35例次,加灌洗20例次。治疗后胸部体征、血氧饱和度、影像学明显好转,痰培养阳性率达68.1%。结论纤维支气管镜在术后肺不张、重度感染治疗中安全、方便、疗效可靠。
Objective To investigate the application of bronchofibroscopy in patients with atelectasis and pulmonary infection after thoracic surgery, abdominal surgery and neurosurgery. Methods The clinical data of patients with atelectasis and severe infection treated with fiberoptic bronchoscopy from December 2006 to August 2011 were analyzed retrospectively. Results The successful diagnosis and treatment with fiberoptic bronchoscopy 55 cases, the success rate of 100%, sputum suction 35 cases, plus lavage 20 cases. After treatment, chest signs, oxygen saturation, imaging improved significantly, sputum culture positive rate of 68.1%. Conclusions Fiberoptic bronchoscopy is safe, convenient and reliable in the treatment of postoperative atelectasis and severe infection.