论文部分内容阅读
该文报告应用纤支镜行支气管灌洗术治疗严重支气管哮喘８例的临床疗效。该组８例病人虽经常规吸氧、支气管扩张剂纠正水电解质、酸碱紊乱、祛痰和糖皮质激素治疗，但哮喘状态无缓解，且合并低氧血症，其中３例呈Ⅱ型呼吸衰竭。在ＩＣＵ监护条件下，行支气管灌洗术，抽吸支气管分泌物和痰检后哮喘症状明显缓解。讨论支气管灌洗术的指征和安全性，认为经纤支镜行支气管灌洗术清除严重哮喘病人气道痰栓是缓解哮喘持续状态的有效治疗手段
This article reports the clinical efficacy of bronchoscopic bronchial lavage in the treatment of 8 cases of severe bronchial asthma. Although the routine oxygen inhalation and bronchodilator were used to treat 8 patients in this group, water and electrolyte, acid-base disorder, expectorant and glucocorticoid treatment were given, but the state of asthma was not alleviated and hypoxemia was accompanied with type Ⅱ respiration Failure. Under ICU custody, bronchial lavage, bronchial aspiration, and post-sputum asthma symptoms were significantly relieved. Discussed the indications and safety of bronchial lavage, bronchial lavage bronchoscopy removal of airway sputum in patients with severe asthma is to relieve asthma persistence state of the effective treatment