临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
12期
2163-2164,2165
,共3页
纤维支气管镜%盐酸氨溴索%支气管肺泡灌洗%呼吸衰竭
纖維支氣管鏡%鹽痠氨溴索%支氣管肺泡灌洗%呼吸衰竭
섬유지기관경%염산안추색%지기관폐포관세%호흡쇠갈
fiberoptic bronchoscopy%ambroxol%bronchoalveolar lavage%respiratory failure
目的：探讨经纤维支气管镜注入盐酸氨溴索支气管肺泡灌洗治疗在肺炎合并呼吸衰竭中的疗效及安全性。方法将62例肺炎合并急慢性呼吸衰竭的患者随机分成治疗组32例，对照组30例，在常规治疗的基础上，治疗组经纤维支气管镜盐酸氨溴索肺泡灌洗治疗；观察两组患者肺内炎性病灶吸收情况、呼吸衰竭好转时间、住院时间；比较两组患者治疗前后白细胞( WBC)、降钙素原( PCT)、C反应蛋白( CRP)有无差异。结果治疗组呼吸衰竭好转时间、肺部炎症吸收时间、住院时间均短于对照组，治疗组治疗后PCT、CRP浓度较对照组明显下降。无严重并发症发生。结论经纤维支气管镜注入盐酸氨溴索灌洗治疗对各种原因引起的肺炎合并呼吸衰竭安全有效。
目的：探討經纖維支氣管鏡註入鹽痠氨溴索支氣管肺泡灌洗治療在肺炎閤併呼吸衰竭中的療效及安全性。方法將62例肺炎閤併急慢性呼吸衰竭的患者隨機分成治療組32例，對照組30例，在常規治療的基礎上，治療組經纖維支氣管鏡鹽痠氨溴索肺泡灌洗治療；觀察兩組患者肺內炎性病竈吸收情況、呼吸衰竭好轉時間、住院時間；比較兩組患者治療前後白細胞( WBC)、降鈣素原( PCT)、C反應蛋白( CRP)有無差異。結果治療組呼吸衰竭好轉時間、肺部炎癥吸收時間、住院時間均短于對照組，治療組治療後PCT、CRP濃度較對照組明顯下降。無嚴重併髮癥髮生。結論經纖維支氣管鏡註入鹽痠氨溴索灌洗治療對各種原因引起的肺炎閤併呼吸衰竭安全有效。
목적：탐토경섬유지기관경주입염산안추색지기관폐포관세치료재폐염합병호흡쇠갈중적료효급안전성。방법장62례폐염합병급만성호흡쇠갈적환자수궤분성치료조32례，대조조30례，재상규치료적기출상，치료조경섬유지기관경염산안추색폐포관세치료；관찰량조환자폐내염성병조흡수정황、호흡쇠갈호전시간、주원시간；비교량조환자치료전후백세포( WBC)、강개소원( PCT)、C반응단백( CRP)유무차이。결과치료조호흡쇠갈호전시간、폐부염증흡수시간、주원시간균단우대조조，치료조치료후PCT、CRP농도교대조조명현하강。무엄중병발증발생。결론경섬유지기관경주입염산안추색관세치료대각충원인인기적폐염합병호흡쇠갈안전유효。
Objective To study the clinical effect of bronchoalveolar lavage with ambroxol in the treatment of pneumonia patients complicated with respiratory failure. Methods 62 pneumonia patients complicated with respira-tory failure were randomized into the therapy group (n=32) and the control group (n=30). On the basis of conven-tional therapy, the therapy group was given bronchoalveolar lavage with ambroxol. The time of respiratory failure im-proved and lung inflammation absorption, the duration of hospital stay, WBC count, and the levels of plasma PCT and CRP were compared between the two groups. Results The improvement was more pronounced in the therapy group than in the control group. There was no serious complications occurred. Conclusion Bronchoscopy lavage with ambroxol is effective in the treatment of pneumonia patients complicated with respiratory failure.
