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探讨BAL在治疗急性呼吸衰竭中的应用效果 被引量:2

To Explore the Effect of BAL in the Treatment of Acute Respiratory Failure
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摘要 目的研究分析采取经纤支镜支气管肺泡灌洗术(Bronchoalveolar Lavage,BAL)治疗急性呼吸衰竭患者呼吸与危重症医学科的临床应用效果,为临床治疗提供依据。方法整理收集我院2017年1月—2018年1月在RICU病房进行治疗的84例急性呼吸衰竭患者作为本次研究对象,全部患者都实施经球囊导管纤支镜支气管肺泡灌洗术治疗,分析对比患者治疗前、治疗后4 h的血气及血氧饱和度指标。结果经治疗患者的动脉氧气压力(Arterial oxygen tension,PaO2)、动脉血氧饱和度(Oxygen saturation,SaO2)、动脉血二氧化碳分压(arterialcarbon dioxide tensio,PaCO2)水平好转,差异具有统计学意义(P<0.05)。结论针对急性呼吸衰竭患者实施经纤支镜支气管肺泡灌洗术治疗效果确切。 Objective To study and analyze the clinical effect of Broncho alveolar lavage(BAL)in the treatment of acute respiratory failure in intensive care unit(ICU),and to provide evidence for clinical treatment.Methods 84 patients with acute respiratory failure who were treated in ICU ward from January 2017 to January 2018 in our hospital were collected.All patients were treated with bronchoalveolar lavage through fiberoptic bronchoscope.The blood gas and oxygen saturation index of patients before and after treatment were analyzed and compared.Results After treatment,the levels of arterial oxygen tension(PaO2),arterial oxygen saturation(SaO2),arterial carbon dioxide partial pressure(PaCO2),arterial carbon dioxide tension(PaCO2)were improved,and the difference was statistically significant(P<0.05).Conclusion Bronchoalveolar lavage through fiberoptic bronchoscope is effective for patients with acute respiratory failure.
作者 林庆艳 孟宪锋 徐宏伟 尹虹雷 LIN Qingyan;MENG Xianfeng;XU Hongwei;YIN Honglei(Respiratory Medicine,Heilongjiang Hospital,Harbin Heilongjiang 150036,China)
出处 《中国卫生标准管理》 2019年第18期63-65,共3页 China Health Standard Management
关键词 纤支镜 球囊导管 肺泡灌洗术 呼吸衰竭 重症监护 血氧饱和度 血气 fiberoptic bronchoscopy balloon catheter alveolar lavage respiratory failure intensive care blood oxygen saturation blood gas
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