摘要
目的探讨老年慢性阻塞性肺疾病急性加重并严重呼吸衰竭纤维支气管镜治疗的效果及安全性。方法对28例老年慢性阻塞性肺疾病急性加重并严重呼吸衰竭患者应用纤维支气管镜诱导经鼻气管插管,并进行肺泡灌洗(采用配有抗生素、激素等药物的生理盐水进行分次灌洗治疗),连用机械通气。结果28例患者中25例抢救成功,成功率为89%。结论纤维支气管镜抢救老年慢性阻塞性肺疾病急性加重并严重呼吸衰竭是行之有效的手段,能提高机械通气的抢救成功率,迅速控制感染,改善氧疗,减少肺性脑病的发生,在抢救呼吸衰竭中具有重要的价值。
[Objective] To investigate the clinical efficiency and safety of of bronchfiberscope in the rescue of acute exacerbations of aged COPD （chronic obstructive pulmonary disease） patients with respiratory failure. [Methods] Twenty-eight aged COPD patients with acute exacerbation and respiratory failure were treated by nasal trachea cannula under the guidance of bronchfiberscope. They were given brocho-alveolar lavages with the saline which include antibiotics, cortical hormone and other drugs and mechanical ventilation were also used when necessary. [Results] Bronchfiberscope is effective in the rescue of acute exacerbations of aged＇COPD patients with respirator） failure. [Conclusion] The use of bronchfiberscope can improve the success rate of mechanical ventilation and control infection promptly, and improve the effect of oxygen therapy then decrease the event of pulmonary encephalopathy. So the bronchfiberscope is of great value in rescuing respiratory failure.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第11期1181-1182,1185,共3页
China Journal of Endoscopy
关键词
纤维支气管镜
呼吸衰竭
老年阻塞性肺病
bronchfiberscope
respiratory failure
aged chronic obstructive pulmonary disease
