论文部分内容阅读
目的研究纤维支气管镜在危重病患者气道管理中的使用。方法总结2016年1月~6月我科室用纤维支气管镜为100例危重病患者行吸痰、清除呼吸道痰痂等治疗的临床经验,并留取痰标本培养,对血气分析指标及胸部CT进行前后自身对照。结果 100例患者经纤维支气管镜吸痰或清除痰痂治疗后,体温下降,呼吸困难症状明显改善,肺部感染及肺不张情况均得到不同程度的控制,显效率高达82.36。治疗前后血浆p H值有所升高,但差异无统计学意义(P>0.05)。治疗后血氧分压显著提高(P<0.05)。结论纤维支气管镜在危重病患者气道管理中具有重要的作用,应推广使用。
Objective To study the use of bronchofibroscopy in the airway management of critically ill patients. Methods From January to June 2016, we used fiber optic bronchoscopy in 100 cases of critically ill patients to perform sputum aspirating sputum aspiration scavenger and other clinical experiences. We collected sputum samples for blood gas analysis and chest CT Before and after their own control. Results After 100 patients were treated with sputum aspiration or phlegm scab, their temperature dropped and dyspnea symptoms improved obviously. The pulmonary infection and atelectasis were all controlled to some extent, and the effective rate was as high as 82.36. Before and after treatment, plasma p H increased, but the difference was not statistically significant (P> 0.05). After treatment, the partial pressure of oxygen was significantly increased (P <0.05). Conclusion Fiberoptic bronchoscopy plays an important role in airway management in critically ill patients and should be widely used.