摘要
[目的]研究床边纤维支气管镜技术在ICU人工气道管理中的疗效。[方法]对ICU病房开放人工气道的68例次危重患者进行床旁纤维支气管镜检查和肺灌洗治疗,并对其痰标本阳性率、血气分析指标的变化以及胸片的变化进行前后自身对照。[结果]经纤支镜留取的痰标本的痰培养阳性率明显高于常规途径留取的痰标本培养,治疗前后血气分析中pH、PaO2、PaCO2、SaO2等各项指标以及胸片检查均明显好转(P<0·05)。[结论]床边纤维支气管镜技术在ICU人工气道开放的危重病人中,可以大大提高了危重病人肺部感染的早期诊断,非常值得作为一种早期治疗的常规治疗手段。
[Objective] To research the curative effect of bed fibre bronchial microscope technology in ICU artificial air-path management, [Method] Administer bed fibre bronchial microscope exam and lung lavage to 68 severe patients who were equipped with artificial air-path in ICU ward, and compare sputum sample positive rate, blood-gas analysis index and chest-X of themselves, [Result] The sputum culture positive rate from the said method was obviously higher than that from routine method; after treatment, in the blood-gas analysis, the indexes of pH, PaO2, PaCO2 and SaO2 were better markedly（P〈0. 05）, [Conclusion] The bed fibre bronchial microscope technology in the severe patients with open ICU artificial air-path can largely improve the early diagnosis of lung infection, very worthy of being taken as routine therapy,
出处
《浙江中医药大学学报》
CAS
2007年第3期346-347,共2页
Journal of Zhejiang Chinese Medical University
关键词
ICU纤维支气管镜
人工气道
ICU fibre bronchial microscope
artificial air-path
