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目的:探讨经纤支镜肺泡灌洗治疗难治性下呼吸道感染的临床效果;方法:对2013年1月至2014年1月在我院接受治疗的48例难治性下呼吸道感染患者的临床资料进行回顾性分析,观察其治疗效果;结果:所有患者细菌检出率均达到了100%,经纤支镜肺泡灌洗治疗治疗效果显著,临床病症得到基本消除,纤毛倒伏和弯曲的现象有明显的缓解,纤毛末梢上粘稠分泌物和电镜下支气管粘膜表面以及坏死组织碎片的碎片量明显减少,胸部影像学病灶明显吸收,所有患者均未发生严重并发症;结论:纤支镜介入诊断和治疗难治性呼吸道感染是一种积极的、非常有效的方法。对难治性呼吸道感染患者,只要严格掌握好纤支镜下治疗的时机和适应症,认真检查,合理用药,措施得当,难治性呼吸道感染的救治就可以取得满意的效果。
Objective: To investigate the clinical efficacy of bronchoalveolar lavage in treatment of refractory lower respiratory tract infection.Methods: The clinical data of 48 patients with refractory lower respiratory tract infection who were treated in our hospital from January 2013 to January 2014 were retrospectively analyzed. Data were retrospectively analyzed to observe the therapeutic effect. Results: The detection rate of all bacteria reached 100%. The bronchofibroscopic alveolar lavage treatment was effective and the clinical symptoms were basically eliminated. The phenomenon of ciliated lodging and bending Significant relief, viscous secretions on the end of the cilia and electron microscopy bronchial mucosa and necrotic tissue debris fragments decreased significantly, the chest imaging lesions were significantly absorbed, all patients had no serious complications; Conclusion: bronchoscopy interventional diagnosis And the treatment of refractory respiratory infections is a positive, very effective method. Patients with refractory respiratory tract infection, as long as the strict grasp of the timing and indications of bronchoscopic treatment, careful examination, rational use of drugs, appropriate measures, refractory respiratory infections can be treated with satisfactory results.