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目的探讨纤维支气管镜肺泡灌洗对淹溺患者的治疗效果。方法总结蚌医附院ICU近5年来淹溺患者行纤维支气管镜(简称纤支镜)支气管肺泡灌洗(简称BAL)治疗15例,观察灌洗前后动脉血气(如PaO2、PaCO2、pH值)结果,并结合疗效标准。结果BAL治疗后动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)较前明显改善,差异有统计学意义(P<0.01),术中除短暂的血氧饱和度(SaO2)降至85%以外,未见其他严重不良反应。疗效显著13例,有效1例,无效1例,总有效率93%。结论纤支镜肺泡灌洗用于淹溺患者能达到良好的治疗效果,是一种行之有效的治疗方法,可以在临床上推广应用,但术中须注意观察、加强监护。
Objective To investigate the therapeutic effect of bronchoalveolar lavage on drowning patients. Methods: Fifteen cases of bronchoalveolar lavage (referred to as bronchial alveolar lavage) were treated with bronchoscopy (referred to as bronchofibroscopy) in the patients of drowning in the mussel Affiliated Hospital of ICU for the past five years. Before and after lavage, arterial blood gas (such as PaO2, PaCO2, pH) Results, combined with efficacy standards. Results PaO2 and PaCO2 in BAL were significantly improved after BAL treatment, with significant difference (P <0.01). In addition to short-term oxygen saturation (SaO2) To 85%, no other serious adverse reactions. The curative effect was significant in 13 cases, effective in 1 case, ineffective in 1 case, the total effective rate was 93%. Conclusion Bronchoalveolar lavage used in drowning patients can achieve good therapeutic effect, which is an effective treatment and can be widely used in clinical practice. However, it is necessary to pay attention to the observation and strengthen the monitoring during operation.