CAJ | 학술논문

目的探讨床旁纤维支气管镜(简称纤支镜)技术在神经外科重症监护室的应用价值.方法回顾性分析28例神经外科重症监护室患者接受纤支镜治疗的病例资料,包括血液及呕吐物误吸、肺泡灌洗、痰栓清除等治疗.结果 4例血液或呕吐误吸物得到及时清除,呼吸功能改善,31例次纤支镜吸痰、肺泡灌洗,31例次纤支镜取痰病原学培养,阳性率100%,4例肺不张纤支镜吸除痰栓肺复张.结论床旁纤支镜技术,可有效排痰,清除异物,在治疗神经外科重症监护室患者合并呼吸道疾患方面具有较大的应用价值.
목적 탐토상방섬유지기관경(간칭섬지경)기술재신경외과중증감호실적응용개치.방법 회고성분석28례신경외과중증감호실환자접수섬지경치료적병례자료,포괄혈액급구토물오흡、폐포관세、담전청제등치료.결과 4례혈액혹구토오흡물득도급시청제,호흡공능개선,31례차섬지경흡담、폐포관세,31례차섬지경취담병원학배양,양성솔100%,4례폐불장섬지경흡제담전폐복장.결론 상방섬지경기술,가유효배담,청제이물,재치료신경외과중증감호실환자합병호흡도질환방면구유교대적응용개치.
Objective To research the value of bed fiber bronchial microscope technology ha neurosurgical ICU. Methods 28 cases in neurosuxgical ICU who had received bed fiber bronchial microscope operations,including blood and vomit aspiration, bronchoalveolar lavage, sputum bolt clearance were retrospectively analyzed. Results 4 cases of blood and vomit aspiration was cleaned ha time,improvement of respiratory function,31 cases was sputum as- piration by bed fiber bronchial microscope and bronchoalveolax lavage, 31 cases was sputum collected by fiber bronchial microscope and positive rate is 100% ,4 cases of atelectasis was lung recruitment by fiber bronchial micro- scope sputum aspiration. Conclusion Bed fiber bronchial microscope technology can eliminate waste effectivdy, clean dust,there axe great value in treatment of neurosurgical ICU patients with respiratory diseases.