CAJ | 학술논문

目的：探究纤维支气管镜下行肺灌洗在治疗创伤性肺不张的临床应用价值。方法对照组给予常规对症支持治疗及经鼻导管吸痰治疗，观察组在对症支持治疗基础上给予纤维支气管镜下行肺灌洗治疗，观察对比两组临床疗效及术后并发症。结果观察组总有效率为95.6%，明显高于对照组的66.7%（P＜0.05）；1次经纤维支气管镜即可达到肺复张者27例（60.0%）；两组患者治疗过程中均未发生严重并发症。结论对创伤性肺不张患者行纤维支气管镜下行肺灌洗治疗，可有效解除气道堵塞，促进肺复张，改善临床预后。
목적：탐구섬유지기관경하행폐관세재치료창상성폐불장적림상응용개치。방법대조조급여상규대증지지치료급경비도관흡담치료，관찰조재대증지지치료기출상급여섬유지기관경하행폐관세치료，관찰대비량조림상료효급술후병발증。결과관찰조총유효솔위95.6%，명현고우대조조적66.7%（P＜0.05）；1차경섬유지기관경즉가체도폐복장자27례（60.0%）；량조환자치료과정중균미발생엄중병발증。결론대창상성폐불장환자행섬유지기관경하행폐관세치료，가유효해제기도도새，촉진폐복장，개선림상예후。
Objective To explore the clinical value of fiberoptic bronchoscopy lung lavage in the treatment of traumatic atelectasis. Methods The control group received conventional treatment and symptomatic and supportive treatment of nasal suction catheter,the observation group were given symptomatic and supportive treatment based on fiberoptic bronchoscopy lung lavage treatment,observed and compared the clinical efficacy of postoperative complications. Results The total effective rate was 95.6%,significantly higher than the 66.7%(P < 0.05).27 cases(60.0%) could be achieved by fiberoptic bronchoscopy lung; both groups of patients during treatment in no serious complications. Conclusion Patients with traumatic atelectasis fiberoptic bronchoscopic lung lavage treatment can effectively relieve airway obstruction and promote lung recruitment,improved clinical outcomes.