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目的探讨纤维支气管镜肺泡灌洗技术在吸入性损伤中的应用疗效观察。方法对我院2012年1月~2014年1月期间40例烧伤的中重度吸入性损伤患者按是否采用纤维支气管镜肺泡灌洗治疗分成治疗组与对照组各20例,针对气道黏膜愈合时间,肺内感染发生率,痰培养阳性率及患者存活率,进行回顾性比较分析。结果治疗组气道黏膜平均愈合时间28天,肺内感染发生例数5例,痰培养阳性例数5例,患者存活例数19例;对照组气道黏膜平均愈合时间35天,肺内感染发生例数10例,痰培养阳性例数10例,患者存活例数15例;结论烧伤伴有吸入性损伤患者采用纤维支气管镜肺泡灌洗技术可以显著提高气道黏膜愈合时间,降低肺内感染发生率,降低痰培养阳性率,提高患者生存率。
Objective To investigate the therapeutic effect of bronchoflagoral lavage technique on inhalation injury. Methods Forty patients with moderate-severe aspiration injury who underwent burn in our hospital from January 2012 to January 2014 were divided into treatment group and control group according to whether they were treated by bronchoalveolar lavage, and 20 cases were treated with airway mucosal healing time , The incidence of pulmonary infection, sputum culture positive rate and patient survival rate, retrospectively analyzed. Results The average healing time of airway mucosa in treatment group was 28 days, the number of pulmonary infection in 5 cases, sputum culture positive cases in 5 cases and the patients in 19 cases. The mean healing time of airway mucosa in control group was 35 days, The number of cases occurred in 10 cases, sputum culture positive cases in 10 cases, the number of patients survived in 15 cases; Conclusion Burns with inhalation injury patients with bronchoscopic bronchoalveolar lavage can significantly improve airway mucosal healing time, reduce pulmonary infection The incidence of sputum culture to reduce the positive rate and improve patient survival.