CAJ | 학술논문

目的：评价经支气管镜抽吸气道内痰液和氨溴索液冲洗气道在老年肺部感染患者中的应用价值。方法回顾我院经支气管镜抽吸气道内痰液及氨溴索液冲洗气道40名老年肺部感染患者，判断其疗效及安全性分析。结果结合患者咳嗽、咳痰、气紧等自觉症状，肺部啰音的体征及血氧饱和度、胸部影像学、血常规、C反应蛋白等辅检，判断患者有效率，其中显效22例，有效15例，总有效率92．5%，所有患者无严重并发症。结论老年肺部感染患者行支气管镜抽吸气道内痰液，并与氨溴索气道冲洗有助于患者肺部感染控制，明显缩短病程，快速减轻症状，改善预后，效果显著，而且操作简便，安全，值得推广。
목적：평개경지기관경추흡기도내담액화안추색액충세기도재노년폐부감염환자중적응용개치。방법회고아원경지기관경추흡기도내담액급안추색액충세기도40명노년폐부감염환자，판단기료효급안전성분석。결과결합환자해수、해담、기긴등자각증상，폐부라음적체정급혈양포화도、흉부영상학、혈상규、C반응단백등보검，판단환자유효솔，기중현효22례，유효15례，총유효솔92．5%，소유환자무엄중병발증。결론노년폐부감염환자행지기관경추흡기도내담액，병여안추색기도충세유조우환자폐부감염공제，명현축단병정，쾌속감경증상，개선예후，효과현저，이차조작간편，안전，치득추엄。
Objective Evaluating the application of pumping sputum in the aspirator by the bronchoscope and swashing the air passage by the ambroxol in the pulmonary infection of very elderly patients. Methods Curative effects and safety of bron-choscope will be estimated and analyzed by reviewing the application of pumping sputum in the aspirator by the bronchoscope and swashing the air passage by the ambroxol in 40 very elderly patients with the pulmonary infection. Results Combining the tussis, expectoration, gas tight symptom, lung rale, oxyhemoglobin saturation, chest imaging, routine blood test, C-reactive protein and so on will be utilized to estimate the effective rate of patients. The excellent effects are as follows:22 cases, effective:15 cases, the total effective rate:92. 5%;moreover, all patients don’t have serious complications. Conclusion The application of pumping sputum in the aspirator by the bronchoscope and swashing the air passage by the ambroxol in the pulmonary infection of very elderly patients contribute to the control of patients’ pulmonary infection, shortening the course of the disease, decreasing the symptom, improving the prognosis, and reaching a remarkable result. Furthermore, it is worth to be introduced due to its simplification, con-venience, and safety.