湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
5期
104-105,106
,共3页
重症肺炎%呼吸衰竭%电子支气管肺泡灌洗术
重癥肺炎%呼吸衰竭%電子支氣管肺泡灌洗術
중증폐염%호흡쇠갈%전자지기관폐포관세술
Severe pneumonia%Respiratory failure%Electronic bronchoalveolar lavage
目的：分析我院成功抢救的120例重症肺炎并呼吸衰竭患者的临床资料，总结治疗经验。方法：回顾性分析我院2010年9月至2014年12月接收诊治的重症肺炎并呼吸衰竭患者120例，随机均分为研究组和对照组，研究组采用电子支气管肺泡灌洗术，对照组采用常规治疗，观察两组的治疗效果，并对比分析两组患者的PaO2、PaCO2指标和氧合指数差异。结果：术后24小时、48小时两组患者的PaO2指标、氧合指数均有不同程度的升高，而PaCO2指标则均有不同程度的下降，但研究组患者的PaO2和氧合指数明显高于对照组、PacO2明显低于对照组，P<0.01有显著性差异；术后10天，研究组的总有效率为88.8%，对照组总有效率为46.7%，P<0.01有显著性差异。结论：应用电子支气管肺泡灌洗术能够有效地治疗重症肺炎并呼吸衰竭，值得临床推广与应用。
目的：分析我院成功搶救的120例重癥肺炎併呼吸衰竭患者的臨床資料，總結治療經驗。方法：迴顧性分析我院2010年9月至2014年12月接收診治的重癥肺炎併呼吸衰竭患者120例，隨機均分為研究組和對照組，研究組採用電子支氣管肺泡灌洗術，對照組採用常規治療，觀察兩組的治療效果，併對比分析兩組患者的PaO2、PaCO2指標和氧閤指數差異。結果：術後24小時、48小時兩組患者的PaO2指標、氧閤指數均有不同程度的升高，而PaCO2指標則均有不同程度的下降，但研究組患者的PaO2和氧閤指數明顯高于對照組、PacO2明顯低于對照組，P<0.01有顯著性差異；術後10天，研究組的總有效率為88.8%，對照組總有效率為46.7%，P<0.01有顯著性差異。結論：應用電子支氣管肺泡灌洗術能夠有效地治療重癥肺炎併呼吸衰竭，值得臨床推廣與應用。
목적：분석아원성공창구적120례중증폐염병호흡쇠갈환자적림상자료，총결치료경험。방법：회고성분석아원2010년9월지2014년12월접수진치적중증폐염병호흡쇠갈환자120례，수궤균분위연구조화대조조，연구조채용전자지기관폐포관세술，대조조채용상규치료，관찰량조적치료효과，병대비분석량조환자적PaO2、PaCO2지표화양합지수차이。결과：술후24소시、48소시량조환자적PaO2지표、양합지수균유불동정도적승고，이PaCO2지표칙균유불동정도적하강，단연구조환자적PaO2화양합지수명현고우대조조、PacO2명현저우대조조，P<0.01유현저성차이；술후10천，연구조적총유효솔위88.8%，대조조총유효솔위46.7%，P<0.01유현저성차이。결론：응용전자지기관폐포관세술능구유효지치료중증폐염병호흡쇠갈，치득림상추엄여응용。
ObjectiveAnalysis of successful treatment in our hospital clinical data of 120 patients with severe pneumonia and respiratory failure patients, summarize the treatment experience.MethodsRetrospective analysis of our hospital from 2012 September to 2014 December and received successful rescue of severe pneumonia with respiratory failure in patients with 120 cases, were randomly divided into the study group and the control group, the study group by bronchoalveolar lavage, control group with conventional treatment, observation of two groups of treatment effect, and the comparative analysis of PaO2, PaCO2 and oxygen two groups of patients with combined index.ResultsIn 24 hours, 48 hours, the PaO2 and oxygenation index of the two groups increased postoperative in varying degrees, and the PaCO2 index were decreased in different degree, the study group of patients with PaO2 and oxygenation index was significantly higher than the control group, PacO2 was significantly lower than that of the control group; 10 days after operation, the total effective rate of the study group was 88.8%, control group total effec-tive rate was 46.7%, it was significant difference,P<0.01.ConclusionElectronic bronchoalveolar lavage can effectively treat severe pneumonia and respiratory failure, which is worthy of clinical promotion and Application.
