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目的探讨电子支气管镜吸痰+灌洗术对治疗慢性阻塞性肺疾病的治疗价值。方法选择长葛市人民医院2010年1月至2013年3月住院的慢性阻塞性肺疾病急性加重期的58例患者。其中男32例,女26例,年龄60~88岁,平均73岁。58例均进行吸痰+肺泡灌洗术,并对肺泡灌洗液进行培养+药敏,根据培养结果选用抗生素。结果所有患者治疗后呼吸困难症状均明显改善,检查血氧饱和度及氧分压明显回升,治疗前后血气分析及血氧饱和度对比差异均有统计学意义,疗效满意。结论应用电子支气管镜吸痰+灌洗疗法治疗慢性阻塞性肺疾病疗效确切,安全性好,患者住院时间明显缩短,生存率提高,住院费用减少,该方法值得推广。
Objective To investigate the therapeutic value of electronic bronchoscopy suctioning and lavage for the treatment of chronic obstructive pulmonary disease. Methods 58 patients with acute exacerbation of chronic obstructive pulmonary disease hospitalized in Changge People’s Hospital from January 2010 to March 2013 were selected. Including 32 males and 26 females, aged 60 to 88 years, an average of 73 years old. 58 cases were suction suction + alveolar lavage, and alveolar lavage fluid culture + sensitivity, according to the results of the selection of antibiotics. Results All patients had obvious symptoms of dyspnea after treatment. The oxygen saturation and the partial pressure of oxygen recovered obviously. The blood gas analysis and oxygen saturation before and after treatment showed significant difference and the curative effect was satisfactory. Conclusions The application of electronic bronchoscope suction sputum + lavage therapy in the treatment of chronic obstructive pulmonary disease is effective and safe, the hospitalization time is significantly shortened, the survival rate is increased, the cost of hospitalization is reduced, and the method is worthy of promotion.