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目的 探讨ICU机械通气肺不张患者纤支镜检查和肺灌洗治疗的有效性和安全性。方法 总结 10年间 10 6例ICU机械通气肺不张行纤支镜检查和肺灌洗治疗患者的病历资料。结果 10 6例共 115次纤支镜检查和肺灌洗治疗完全有效 3 9 6% ,有效 41 5 % ,部分有效 13 3 % ,无效 5 6% ,总有效率 94 3 %。PaO2 由治疗前 ( 5 3± 6)mmHg升至治疗后 ( 89± 9)mmHg ,无不良并发症。结论 ICU机械通气肺不张患者纤支镜检查和肺灌洗治疗是有效的、安全的。
Objective To investigate the effectiveness and safety of bronchoscopy and lung lavage in ICU patients with atelectasis. Methods 10 cases of ICU mechanical ventilation lung atelectasis bronchoscopy and lung lavage treatment of patients with medical records data. Results A total of 115 cases of bronchoscopy and lung lavage were performed in 106 cases with complete effective rate of 396%, effective 41.5%, partial effective 13 3%, ineffective 56% and total effective rate 94 3%. PaO2 increased from (53 ± 6) mmHg before treatment to (89 ± 9) mmHg after treatment with no adverse complications. Conclusion ICU mechanical atelectasis in patients with bronchoscopy and lung lavage treatment is effective and safe.