CAJ | 학술논문

目的：对脑血栓合并肺部感染的病例进行便携式支气管镜下治疗进行分析，观察临床疗效。方法采用前瞻性、随机平行对照的研究方法，从我院2010年5月~2013年3月住院的256例脑血栓合并肺部感染的病例,随机分成A组128例（给予常规治疗如抗炎、化痰、对症支持治疗）、B组128例（给予进行便携式支气管镜下治疗加上述常规治疗），观察两组疗效。结果便携式支气管镜下治疗组和常规治疗组比较，在死亡率、体温恢复正常的时间、肺部湿罗音消失时间、白细胞总数、中性粒细胞分类正常的时间以及影像学炎症吸收时间,差异均有统计学意义(P<0.05,P<0.01),取得了良好的临床效果。结论便携式支气管镜治疗脑血栓并肺部感染疗效较高,副作用小,有较好的临床推广价值。
목적：대뇌혈전합병폐부감염적병례진행편휴식지기관경하치료진행분석，관찰림상료효。방법채용전첨성、수궤평행대조적연구방법，종아원2010년5월~2013년3월주원적256례뇌혈전합병폐부감염적병례,수궤분성A조128례（급여상규치료여항염、화담、대증지지치료）、B조128례（급여진행편휴식지기관경하치료가상술상규치료），관찰량조료효。결과편휴식지기관경하치료조화상규치료조비교，재사망솔、체온회복정상적시간、폐부습라음소실시간、백세포총수、중성립세포분류정상적시간이급영상학염증흡수시간,차이균유통계학의의(P<0.05,P<0.01),취득료량호적림상효과。결론편휴식지기관경치료뇌혈전병폐부감염료효교고,부작용소,유교호적림상추엄개치。
Objective:cerebral thrombosis complicated with pulmonary infection cases were portable bronchoscopic treatment were analyzed, clinical observation. Methods:a prospective, randomized paral el control ed, hospitalized from May March to 2013 2010 in our hospital 256 cases of cerebral thrombosis and pulmonary infection cases, 128 cases were randomly divided into group A (treated with conventional treatment such as anti-inflammatory, expectorant, symptomatic and supportive treatment), 128 cases in B group (given by portable bronchoscopy under the treatment with the conventional treatment, observation of curative ef ect of two groups). Results: Portable bronchoscopic treatment group and routine treatment group, mortality, body temperature returned to normal in time, lung wet rales disappearance time, total white cellcount, neutrophil classification of normal time and imaging inflammation absorption time, the dif erences were statistical y significant (P<0.05, P<0.01), clinical ef ect was achieved good. Conclusion: Portable bronchoscopy in treatment of cerebral thrombosis and pulmonary infection, high curative ef ect, lit le side ef ect, has a good clinical value.