中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
6期
903-904
,共2页
纤维支气管镜%呼吸功能不全%呼吸,人工
纖維支氣管鏡%呼吸功能不全%呼吸,人工
섬유지기관경%호흡공능불전%호흡,인공
Bronchofibreacope%Rrespiratory insufficiency%Respiration,artificial
目的 探讨纤维支气管镜(纤支镜)在呼吸衰竭机械通气患者中的临床价值.方法 急诊科病区ICU(EICU)2006年1月至2007年6月应用纤维支气管镜抢救44例呼吸衰竭机械通气患者(治疗组),2005年1月至2006年1月35例呼吸衰竭机械通气患者未用纤支镜术(对照组),比较两组患者的抗生素使用天数、机械通气天数及死亡率.结果 治疗组患者抗生素使用天数、机械通气天数及死亡率均明显低于对照组(P<0.05),在纤支镜吸痰过程中未出现出血、气胸等并发症.结论 在呼吸衰竭机械通气患者中应用纤支镜安全有效,可以缩短机械通气时间、降低死亡率,值得临床推广应用.
目的 探討纖維支氣管鏡(纖支鏡)在呼吸衰竭機械通氣患者中的臨床價值.方法 急診科病區ICU(EICU)2006年1月至2007年6月應用纖維支氣管鏡搶救44例呼吸衰竭機械通氣患者(治療組),2005年1月至2006年1月35例呼吸衰竭機械通氣患者未用纖支鏡術(對照組),比較兩組患者的抗生素使用天數、機械通氣天數及死亡率.結果 治療組患者抗生素使用天數、機械通氣天數及死亡率均明顯低于對照組(P<0.05),在纖支鏡吸痰過程中未齣現齣血、氣胸等併髮癥.結論 在呼吸衰竭機械通氣患者中應用纖支鏡安全有效,可以縮短機械通氣時間、降低死亡率,值得臨床推廣應用.
목적 탐토섬유지기관경(섬지경)재호흡쇠갈궤계통기환자중적림상개치.방법 급진과병구ICU(EICU)2006년1월지2007년6월응용섬유지기관경창구44례호흡쇠갈궤계통기환자(치료조),2005년1월지2006년1월35례호흡쇠갈궤계통기환자미용섬지경술(대조조),비교량조환자적항생소사용천수、궤계통기천수급사망솔.결과 치료조환자항생소사용천수、궤계통기천수급사망솔균명현저우대조조(P<0.05),재섬지경흡담과정중미출현출혈、기흉등병발증.결론 재호흡쇠갈궤계통기환자중응용섬지경안전유효,가이축단궤계통기시간、강저사망솔,치득림상추엄응용.
Objective To investigate the clinical value of bronchofibroscope to the patients with respiratory failure treated by mechanical ventilation. Methods 44 patients with respiratory failure treated by mechanical venti-lation who were rescued with bronchofibroscope in EICU from January 2006 to June 2007 were compared the days of antibiotic application, the days of mechanical ventilation and mortality rate with 35 patients with respiratory failure treated by mechanical ventilation but not using bronchofibroscope during January 2005 to January 2006. Results Compared with the control group, the therapy group had fewer days of antibiotic application, fewer days of mechani-cal ventilation and lower mortality rate(P < 0.05). During absorbing expectoration with bronchofibroscope, compli-cation such as haemorrhage did not happen. Conclusion Bronchofibroscope application in the patients with respira-tory failure treated by mechanical ventilation can shorten the time of mechanical ventilation and cut down the mortal-ity rate,which was worth generalizing in clinical work.