摘要
目的探讨支气管肺泡灌洗抢救重症肺炎并呼吸衰竭的临床价值。方法将37例患者随机分为灌洗组和非灌洗组,灌洗组18例在常规治疗基础上加支气管肺泡灌洗,非灌洗组19例采用常规治疗,观察两组病例的治疗效果。结果治疗48h和72h后灌洗组的PaO2和氧合指数(PaO2/FiO2)明显高于非灌洗组(P<0.01),PaCO2明显低于非灌洗组(P<0.01);灌洗组总有效率为88.8%,非灌洗组为47.4%,两组比较差异有显著性(P<0.01)。结论支气管肺泡灌洗抢救重症肺炎并呼吸衰竭,可减少使用有创机械通气,疗效确切,有较高的临床价值。
[ Objective ] To explore the clinical value of bronchoalveolar lavage（BAL） in treatment of severe pneumonia with respiratory failure. [Methods] 37 patients were randomly＇divided into BAL group and non-BAL group. In BAL group, 18 patients were with BAL on basis of routine treatment,and 19 patients only with routine treatment in non-BAL group. Comparing their effects with 2 groups. [Results] The BAL group＇s PaO2 and oxygenation index （PaO_JFiO,） in post-treatment 48 h and 72 h were obviously higher than non-BAL group（P 〈0.01 ）, and the PaCO2 were lower（P 〈0.01）, the effective rate in BAL group was 88.8%, and 47.4% in non-BAL group. It had significant difference in 2 groups. [Conclusion] BAL can decrease the use of mechanism ventilation in severe pneumonia with respiratory failure, has confident effect, and significant clinical value.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第9期972-974,共3页
China Journal of Endoscopy
关键词
支气管肺泡灌洗术
重症肺炎
呼吸衰竭
bronchoalveolar lavage（BAL）
severe pneumonia
respiratory failure
