摘要
目的探讨支气管肺泡灌洗(BAL)在社区获得性重症肺炎并呼吸衰竭的临床价值。方法将40例患者随机分为灌洗组和对照组,灌洗组20例在常规治疗基础上加支气管肺泡灌洗,对照组20例采用常规治疗,观察两组病例的治疗效果。结果灌洗组抗生素应用时间、住院时间、血象恢复时间,均短于对照组,有效率高于对照组,差异有统计学意义(P<0.05)。无严重并发症及意外发生。结论支气管肺泡灌洗治疗社区获得性重症肺炎并呼吸衰竭疗效显著,安全可靠,简便易行,值得临床推广。
Objeetive To explore the clinical value of bronchoalveolar lavage in treatment for severe community-acquired pneu- monia with respiratory failure. Methods 40 patients were randomly divided into BAL group and control group, in the BAL group ,20 patients received BAL in addition of routine treatment and 20 patients had only routine treatment in the control group, comparison was made between the two groups. Results The duration of the use of antibiotic, period of hospitalization, the recovery time of hemogram of the BAL group were all shorter than those of the control group, and the efficiency of the BAL group was greater than that of the control group. The discrepancy was statistically significant（ P 〈 0.05 ）. No complication and accident occurred. Coneluslon The treatment with BAL was effective,safe,reliable,convenient and worth promoting on severe communityacquired pneumonia with respiratory failure.
出处
《中华全科医学》
2011年第8期1236-1237,共2页
Chinese Journal of General Practice
作者简介
通讯作者：林文如，电子信箱：LWR8881@163．com
