摘要
目的 :探讨纤维支气管镜在神经系统疾病合并重症肺部感染中的应用价值。方法 :在床旁应用便携式纤支镜对 5 0例合并重症肺部感染和急性呼吸衰竭的患者进行吸痰或经鼻气管插管 ,同时取痰菌培养。结果 :4 0例显效 ,10例有效 ,有效率达 10 0 %。痰菌培养 39例 ,阳性率 75 % ,准确性达 86 %。经鼻气管插管 2 0例次 ,成功率 10 0 %。没有明显并发症发生。结论 :在神经科病房内 ,应用纤支镜治疗合并重症肺部感染患者是一种安全、简便而有效的方法 ,具有推广价值。
Objective: To assess the value of application of fibrobrochoscope in department of neurology patients with severe pulmonary infection. Method: Sucking sputum and transnose trachea intubation were applied to 50 patients by portability fibrobrochoscope bedside. Meanwhile, sputum bacteria cultivation were made. Results: Of all 50 patients, significant improvement were seen in 40 patients .The others were effective. Effective rate reached to 100 percent. Sputum bacteria cultivation positive were found in 39 patients with positive 75 percent and accuracy 86 percent. Transnose trachea intubation were applied in 20 patients .Successful rate up to 100 percent. No apparent complication were seen. Conclusions: It is a safety, simple and effective method using fibrobrochoscope to treat patients with severe pulmonary infection in department of neurology, and that is worth to spread.
出处
《中国内镜杂志》
CSCD
2002年第12期42-43,共2页
China Journal of Endoscopy