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目的探讨应用支气管肺泡灌洗术(BAL)治疗炎性肺实变的疗效。方法选择X线胸片或胸部CT诊断为肺实变且经痰培养确诊为炎性肺实变共99例。随机分为对照组46例,观察组53例,二组均按常规静脉使用抗生素,口服茶碱、祛痰药等治疗,观察组同时行BAL治疗,每周2～3次。结果治疗后根据临床症状的变化、X线胸片或CT的改变以及血常规、痰培养改善等情况判断疗效。观察组显效17例,有效30例,总有效率达88.68%。对照组显效4例,有效16例,总有效率为43.48%。二组总有效率比较,P<0.05,差异有统计学意义。BAL治疗炎性肺实变效果显著。结论在常规治疗基础上给予BAL治疗炎性肺实变,可有效提高炎性肺实变治愈率。
Objective To investigate the therapeutic effect of bronchoalveolar lavage (BAL) on inflammatory lung consolidation. Methods X-ray or chest CT diagnosis of pulmonary consolidation and confirmed by sputum culture of inflammatory pulmonary consolidation in 99 cases. Randomly divided into control group of 46 cases, observation group of 53 cases, the two groups were routine intravenous antibiotics, oral theophylline, expectorants and other treatment, the observation group at the same time BAL treatment, 2 to 3 times a week. Results After treatment, according to changes in clinical symptoms, X-ray or CT changes and blood, sputum culture to improve the situation to determine the efficacy. The observation group was effective in 17 cases, effective in 30 cases, the total effective rate was 88.68%. In the control group, 4 cases were markedly effective and 16 cases were effective. The total effective rate was 43.48%. The total effective rate of two groups, P <0.05, the difference was statistically significant. BAL treatment of inflammatory lung consolidation effect is significant. Conclusion The treatment of BALF with BAL on the basis of conventional treatment can effectively improve the cure rate of inflammatory lung consolidation.