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目的研究床边纤维支气管镜技术在MICU人工气道管理中的疗效。方法对MICU开放气道的26例危重患者进行床旁纤维支气管镜检查和肺泡灌洗治疗,并对其血气分析,痰培养阳性率等指标进行观察。结果纤维支气管检查治疗有效率为80%,痰培养阳性率为76%,治疗后患者Pa O2,Sa O2,PH均明显改善,而Pa CO2较治疗前明显下降,均有统计学意义(P<0.01)。结论床边纤维支气管镜技术在MICU人工气道开放的危重患者中,可明显改善通气和预后,且安全。
Objective To study the efficacy of bedside fiberoptic bronchoscopy in the management of artificial airway in the MICU. Methods 26 cases of critically ill patients with open airway of MICU were treated with bedside bronchoscopy and bronchoalveolar lavage. Blood gas analysis and sputum culture positive rate were also observed. Results The effective rate of fibrobronchial examination was 80% and the positive rate of sputum culture was 76%. After treatment, Pa O2, Sa O2 and PH were significantly improved, while Pa CO2 was significantly lower than that before treatment (P < 0.01). Conclusion The bedside fiberoptic bronchoscopy technique can significantly improve ventilation and prognosis and safety in critically ill patients with open artificial airway in MICU.