国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2009年
20期
1232-1233
,共2页
社区获得性肺炎%防污染样本毛刷采样%支气管肺泡灌洗
社區穫得性肺炎%防汙染樣本毛刷採樣%支氣管肺泡灌洗
사구획득성폐염%방오염양본모쇄채양%지기관폐포관세
Community acquired pneumonia%Protected specimen brush%Bronchoalveolar lavage
目的 比较不同检查方法对社区获得性肺炎的诊断价值及安全性.方法 将60例社区获得性肺炎住院患者随机分成2组,每组30例,分别行支气管镜下防污染样本毛刷采样(PSB)检查或经支气管镜支气管肺泡灌洗(BAL)定量培养.60例患者均行痰培养.结果 PSB的阳性率为63.3%(19/30),BAL的阳性率为80.0%(24/30),痰培养的阳性率为30.0%(18/60).结论 PSB和BAL对诊断社区获得性肺炎敏感性及特异性比较高,严重并发症少见.
目的 比較不同檢查方法對社區穫得性肺炎的診斷價值及安全性.方法 將60例社區穫得性肺炎住院患者隨機分成2組,每組30例,分彆行支氣管鏡下防汙染樣本毛刷採樣(PSB)檢查或經支氣管鏡支氣管肺泡灌洗(BAL)定量培養.60例患者均行痰培養.結果 PSB的暘性率為63.3%(19/30),BAL的暘性率為80.0%(24/30),痰培養的暘性率為30.0%(18/60).結論 PSB和BAL對診斷社區穫得性肺炎敏感性及特異性比較高,嚴重併髮癥少見.
목적 비교불동검사방법대사구획득성폐염적진단개치급안전성.방법 장60례사구획득성폐염주원환자수궤분성2조,매조30례,분별행지기관경하방오염양본모쇄채양(PSB)검사혹경지기관경지기관폐포관세(BAL)정량배양.60례환자균행담배양.결과 PSB적양성솔위63.3%(19/30),BAL적양성솔위80.0%(24/30),담배양적양성솔위30.0%(18/60).결론 PSB화BAL대진단사구획득성폐염민감성급특이성비교고,엄중병발증소견.
Objective To compare the diagnostic value and safety of different methods for community acquired pneumonia.Methods Sixty patients with community acquired pneumonia were randomly divided into two groups,each group had 30 cases.Two groups received the detection of protected specimen brush (PSB) or quantitative culture of brochoalveolar lavage (BAL) with bronchoscopy respectively.At the same time sputum culture was made in all cases.Results The positive rates of PSB,BAL and sputum culture were 63.3% (19/30),80.0% (24/30) and 30.0% (18/60),respectively.Conclusions The sensitivity and specificity of PSB and BAL in diagnosing community acquired pneumonia are higher,and severe complication is infrequent.
