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目的 探讨支气管肺泡灌洗在外科重症肺部感染抢救中的作用。方法 回顾分析外科并重症肺部感染 5 6例 ,分纤支镜组 2 9例及非纤支镜组 2 7例。结果 纤支镜组总有效率为 86 2 1% ,非纤支镜组总有效率为 5 9 2 5 % (P <0 0 5 )。纤支镜组治疗后抗生素使用疗程缩短且费用降低及总住院时间缩短。结论 支气管肺泡灌洗在重症肺部感染抢救中可缩短肺部感染的治愈时间 ,是一种相对安全而有效治疗方法。
Objective To investigate the role of bronchoalveolar lavage in the salvage of surgical severe pulmonary infection. Methods Retrospective analysis of surgical and severe pulmonary infection 56 cases, 29 cases of bronchoscopy group and 27 cases of non-bronchoscopy group. Results The total effective rate was 86 2 1% in the group of bronchoscopy and 59 52% in the non-branch-mirror group (P 0 05). Treatment of patients with bronchoscopy group shortened the course of antibiotic use and reduced costs and shorter total hospital stay. Conclusions Bronchoalveolar lavage can shorten the healing time of pulmonary infection in the rescue of severe pulmonary infection, which is a relatively safe and effective treatment.