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目的探讨支气管肺泡灌洗(BAL)在社区获得性重症肺炎并呼吸衰竭的临床价值。方法将40例患者随机分为灌洗组和对照组,灌洗组20例在常规治疗基础上加支气管肺泡灌洗,对照组20例采用常规治疗,观察两组病例的治疗效果。结果灌洗组抗生素应用时间、住院时间、血象恢复时间,均短于对照组,有效率高于对照组,差异有统计学意义(P<0.05)。无严重并发症及意外发生。结论支气管肺泡灌洗治疗社区获得性重症肺炎并呼吸衰竭疗效显著,安全可靠,简便易行,值得临床推广。
Objective To investigate the clinical value of bronchoalveolar lavage (BAL) in community-acquired severe pneumonia with respiratory failure. Methods Forty patients were randomly divided into lavage group and control group. In the lavage group, 20 patients were treated with bronchoalveolar lavage on the basis of routine treatment, and 20 patients in the control group were treated by conventional therapy. The therapeutic effect was observed in both groups. Results The antibiotic application time, hospitalization time and blood recovery time in lavage group were shorter than those in control group, and the effective rate was higher than that in control group (P <0.05). No serious complications and accidents. Conclusions Bronchoalveolar lavage is effective and safe for community-acquired severe pneumonia and respiratory failure. It is simple and easy to be implemented and worthy of clinical promotion.