摘要
目的：探讨纤维支气管镜用于诊治精神病危重患者的安全性。方法：收集本院ICU57例精神病危重患者，行138次纤维支气管镜操作。其中行纤支镜检查、吸痰及吸除异物62次，引导经鼻插管44次，直视下调整气管插管深度10次，经纤维支气管镜吸取痰标本进行痰培养20次，对气道出血患者进行诊治2次。结果：62例次经行纤维支气管镜吸痰及吸除异物后呼吸道症状改善明显；44例次纤维支气管镜引导下经鼻插管及10例次直视下调整气管插管深度，全部1次成功；2例次气道出血患者经诊治后止血效果明显：20例次经纤维支气管镜取痰培养送病原学检查，明确病原后选用敏感抗生素进行治疗均成功。结论：ICU精神病危重患者进行纤维支气管镜检查和治疗安全有效，值得推广。
Objective：To determine the efficacy and safety of the tracheoscopy in the diagnosis and treatment of mental illness in critically ill patients. Method We retrospectively analysised the clinical experience of 138 bronehofibroscope operations in 57 cases of critically ill ICU patients with mental illness. These included bronchoscopy, suction and foreign body aspiration in 62 times, guiding for nasal intubation in 44 times, to adjust the depth of tracheal intubation in 10 times, to get sputum samples for culture in 20 times, the diagnosis and treatment of bleeding in 2 times. Results The respiratory symptoms significantly improved after suction of sputum and foreign body in 62 cases. The 44 cases of bronchoscopy-guided nasal intubation and 10 cases of adjustment of the depth of endotracheal intubation were successful. The all sputum taken by the bronchoscopy cultured positive. Conclusion Bronchoscopy examination and treatment in critically ill ICU patients with mental illness were safe and effective.
出处
《广州医学院学报》
2010年第1期68-70,共3页
Academic Journal of Guangzhou Medical College
关键词
支气管镜检查
精神病
危重病
肺疾病
bronehoseopy
psychotic disorders
critical illness
lung diseases
