CAJ | 학술논문

目的探讨支气管镜在老年吸入性肺炎治疗中的应用.方法回顾性分析37例采用支气管镜治疗的老年吸入性肺炎患者的临床资料.结果 37例患者均顺利完成纤维支气管镜检查和肺泡灌洗.时间25～46 min,平均34 min.与治疗前比较,精神疲劳、纳差、胸闷气促、低氧血症、咳嗽咳痰症状均有明显改善,发热的8例患者治疗后体温恢复正常.所有患者无严重并发症.结论支气管镜是老年吸入性肺炎是一种有效的治疗手段,其具有疗效显著、安全,值得临床推广应用.
목적 탐토지기관경재노년흡입성폐염치료중적응용.방법 회고성분석37례채용지기관경치료적노년흡입성폐염환자적림상자료.결과 37례환자균순리완성섬유지기관경검사화폐포관세.시간25～46 min,평균34 min.여치료전비교,정신피로、납차、흉민기촉、저양혈증、해수해담증상균유명현개선,발열적8례환자치료후체온회복정상.소유환자무엄중병발증.결론 지기관경시노년흡입성폐염시일충유효적치료수단,기구유료효현저、안전,치득림상추엄응용.
Objective To investigate the application of fiberbronchoscopy in elderly patients with aspiration pneumonitis.Methods The clinical data of 37 elderly patients with aspiration pneumonitis treated by fiberbronchoscopy were retrospectively analyzed.Results All patients underwent fiberbronchoscopy and bronchoalveolar lavage successfully.The time was 25 ～46 min,average 34 min.Symptoms such as mental fatigue,anorexia,chest tightness,shortness of breath,hypoxemia,cough and expectoration were significantly improved,compared with those before treatment.The body temperature of 8 patients with fever returned to normal after treatment.There were no serious complications occurred in all patients.Conclusions Fiberbronchoscopy is an effective treatment for elderly patients with aspiration pneumonitis.It has advantages of significant effect and high security,so is worthy to be widely used in clinics.