论文部分内容阅读
目的探讨纤维支气管镜肺泡灌洗术在重症肺炎合并呼吸衰竭治疗中的临床意义.方法将52例重症肺炎合并呼吸衰竭患者随机分为灌洗组和非灌洗组,灌洗组26例在常规治疗基础上加支气管肺泡灌,非灌洗组26例采用常规治疗,观察两组患者的治疗效果.结果纤维支气管镜肺泡灌洗组患者CPIS在治疗1d、3d、6d、14d较非灌洗组明显下降,P<0.05；灌洗组总有效率明显高于非灌洗组, P<0.01.结论纤支镜在重症肺炎合并呼吸衰竭患者中的应用疗效确切、安全、良好的护理干预更利于患者的配合和灌洗术的效率.“,”Objective To investigate the clinical significance of bronchoalveolar lavage in the treatment of severe pneumonia complicated by respiratory failure .Methods 52 cases of severe pneumonia in patients with respiratory failure were randomly divided into the lavage group and the non- lavage group, lavage group were treated with bronchoalveolar lavage on the base of conventional therapy,non - lavage group were treated with common therapy , patient outcomes were observed .Results CPIS of lavage group in the treatment of 1d, 3d, 6d, 14d compared with non- lavage group decreased significantly (P<0.05) ; lavage group was significantly higher than the non - lavage group (P<0.01) . Conclusions bronchoalveolar lavage by the way of Fibrobronchoscopy in severe pneumonia with respiratory failure is efficient and safe. effictiv nursing care is more beneficial to patients with co-ordination and efficiency of lavage