CAJ | 학술논문

目的：探讨针对难治性老年肺炎患者实施经纤维支气管镜检查，对发病原因以及病原学分布诊断的临床意义。方法难治性老年肺炎患者80例，实施纤维支气管镜检查，于病变处实施支气管肺泡灌洗，此后进行病原学辅助检查，比较患者病原学阳性率与入院时常规痰培养病原学阳性率。结果出现42例单纯性炎症性改变；病原菌对于喹诺酮类等抗菌物耐药率较高，耐药率较低是亚胺培南等。患者入院时痰培养与BALF一致12例。结论纤维支气管镜检查可以提升病原学诊断，提升治疗有效性。
목적：탐토침대난치성노년폐염환자실시경섬유지기관경검사，대발병원인이급병원학분포진단적림상의의。방법난치성노년폐염환자80례，실시섬유지기관경검사，우병변처실시지기관폐포관세，차후진행병원학보조검사，비교환자병원학양성솔여입원시상규담배양병원학양성솔。결과출현42례단순성염증성개변；병원균대우규낙동류등항균물내약솔교고，내약솔교저시아알배남등。환자입원시담배양여BALF일치12례。결론섬유지기관경검사가이제승병원학진단，제승치료유효성。
Objective To explore the clinical significance of fibreoptic bronchoscopy for causes and etiologi-cal diagnosis of elderly patients with refractory pneumonia. Methods 80 elderly patients with refractory pneumonia were given fibreoptic bronchoscopy. And then they were given accessory examination. The etiological positive rate of sputum culture was observed. Results There were 42 cases of simple inflammatory changes. Pathogens showed a high resistance to fluoroquinolones and other antimicrobial drugs and low resistance to imipenem. The results of spu-tum culture were consistent with BALF in 12 cases. Conclusion Bronchoscopes can enhance the etiological diagno-sis and guide the use of antibiotics to enhance treatment effectiveness.