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目的探讨经纤维支气管镜(纤支镜)行支气管肺泡灌洗(BAL)在小儿感染性肺不张治疗中的作用及安全性。方法经X线胸片或CT证实为肺不张的80例住院患儿,随机分为纤支镜组(41例)及对照组(39例)。对照组给予常规抗感染治疗,纤支镜组在此基础上给予纤支镜下对病变肺段进行肺泡灌洗治疗;两组均在治疗后10 d、20 d、1个月复查胸部CT,观察两组患儿在病程中影像学表现。结果 30 d后有效率纤支镜组为100%,对照组为84.6%;两组病例在治疗后10 d、20 d、1个月3个阶段疗效比较差异有统计学意义(P<0.05)。结论 BAL治疗儿童感染性肺不张效果好于常规治疗。
Objective To investigate the effect and safety of bronchoalveolar lavage (BAL) treated by bronchofibroscopy (bronchofibroscopy) in infective atelectasis in children. Methods Eighty hospitalized children with atelectasis confirmed by X-ray or CT were randomly divided into bronchofiberscopy (41 cases) and control group (39 cases). The control group was given routine anti-infective therapy. The bronchofiberscopy group was given bronchoalveolar lavage on the basis of bronchofiberscopy. The chest CT, The imaging manifestations of the two groups were observed during the course of the disease. Results After 30 days, the effective rate was 100% in the bronchofibroscopy group and 84.6% in the control group. There was significant difference in the curative effect between the two groups at 10 d, 20 d and 1 month after treatment (P <0.05) . Conclusion BAL in children with infectious atelectasis is better than conventional treatment.