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在对照组治疗基础上,改安灭菌1.2g静脉注射每日2次为经纤支镜行病变段支气管灌洗后气管内滴注安灭菌1.2g隔日1次,治疗急性肺脓肿50例。结果治疗组2周治愈率52%,显效40%,3周治愈率92%,另8%最后确诊为癌性空洞。对照组2周治疗后体温降至正常者36%,但咳嗽、咳痰症状及胸片无明显改善,4周治愈率12%,显效率74%,6周治愈率30%,显效56%,另14%无效转院或转胸外科治疗。治疗组起效时间、平均治疗时间明显短于对照组(P<0.01),且无明显副作用。纤支镜检不但对急性肺脓肿病原学诊断有积极意义,经纤支镜对急性肺脓肿的介入治疗也是一种见效快、疗程短、安全有效的方法,值得临床推广应用。
In the control group based on the treatment, the safety and security 1.2g intravenous injection twice a day for bronchoscopy bronchial lesion bronchial lavage after endotracheal instillation 1.2g every other day for treatment of acute lung abscess 50 cases. Results The two-week cure rate of the treatment group was 52%, markedly effective 40%, three-week cure rate 92%, the other 8% of the final diagnosis of cancerous cavity. The control group 2 weeks after treatment, the body temperature dropped to 36% of normal, but cough, sputum symptoms and no significant improvement in chest X-ray, 4 weeks cure rate of 12%, markedly effective rate of 74%, 6 weeks cure rate of 30%, markedly effective 56% Another 14% invalid transfer or thoracic surgery. The onset time and average treatment time of the treatment group was significantly shorter than that of the control group (P <0.01), and no obvious side effects. Bronchoscopy is not only positive for the diagnosis of acute pulmonary abscess etiology, bronchoscopy for acute lung abscess intervention is also a quick, short course, safe and effective method, it is worthy of clinical application.