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目的观察经纤维支气管镜局部冲洗、给药对肺脓疡的治疗价值。方法在常规抗炎的同时 ,对 2 1例肺脓疡患者采用 0 .5 %甲硝唑 10 0～ 15 0 ml经纤支镜局部冲洗并向病灶内注入敏感抗生素治疗 ,随机取 2 1例诊断相同而未行纤维支气管镜下治疗的既往病例作对照 ,比较其疗效。结果治疗组治愈率 85 .71%,总有效率 10 0 %,平均治疗时间 2 1日 ;对照组则分别为 42 .86 %,71.42 %,38天。两组比较有显著性差异 ( P<0 .0 1,P<0 .0 5 ,P<0 .0 1)。结论纤维支气管镜下局部冲洗注药治疗肺脓疡因抽吸分泌物、冲洗脓腔而促进引流 ;局部抗生素浓度高 ,从而使病程缩短 ,治愈率提高。
Objective To observe the local bronchoscopic irrigation, the treatment of lung abscess treatment value. Methods Twenty-one patients with lung abscess were treated locally with 0.5% metronidazole 10 0-15 0 ml by fiberoptic bronchoscopy and sensitive antibiotics were infused into the lesions. Twenty-one patients The same diagnosis without previous bronchoscopic treatment of previous cases as a control, compare its efficacy. Results The cure rate was 85.71% in the treatment group, the total effective rate was 100% and the average treatment time was 21 days. The control group was 42.86%, 71.42% and 38 days respectively. There was significant difference between the two groups (P <0.01, P <0.05, P <0.01). Conclusion Local bronchoscopic injection of drug treatment of lung abscess due to suction secretions, flushing abscess and promote drainage; local high concentrations of antibiotics, so that shorten the course of the disease, the cure rate increased.