中国冶金工业医学杂志

纤维支气管镜肺泡灌洗在中重度吸入性损伤中的应用疗效观察

作者：曲淑娟

分类号：R 644

出版年,卷(期):页码：2015,32(5):505-506

摘要：

目的探讨纤维支气管镜肺泡灌洗技术在吸入性损伤中的应用疗效观察。方法对我院2012年1月～2014年1月期间40例烧伤的中重度吸入性损伤患者按是否采用纤维支气管镜肺泡灌洗治疗分成治疗组与对照组各20例，针对气道黏膜愈合时间，肺内感染发生率，痰培养阳性率及患者存活率，进行回顾性比较分析。结果治疗组气道黏膜平均愈合时间28天，肺内感染发生例数5例，痰培养阳性例数5例，患者存活例数19例；对照组气道黏膜平均愈合时间35天，肺内感染发生例数10例，痰培养阳性例数10例，患者存活例数15例；结论烧伤伴有吸入性损伤患者采用纤维支气管镜肺泡灌洗技术可以显著提高气道黏膜愈合时间，降低肺内感染发生率，降低痰培养阳性率，提高患者生存率。

关键词：烧伤；吸入性损伤；肺泡灌洗；纤维支气管镜

ObjectiveTo investigate the effect of bronchoalveolar lavage in the treatment of inhalation injury.MethodsAccording to whether using the bronchoalveolar lavage,40 cases of burn with moderate to severe inhalation injury from January 2012 to January 2014 in our hospital were divided into treatment group and control group with 20 cases in each group.The healing time of airway mucosa,incidence rate of lung infection,the positive rate of sputum culture and the survival rate were retrospectively compared and analyzed.ResultsIn the treatment group,the average healing time of airway mucosa was 28 days,there were 5 cases with lung infection,5 cases with positive sputum culture,19 survival cases;In the control group,the average healing time was 35 days,lung infection occurred in 10 cases,there were 10 cases with positive sputum culture,15 survival cases.ConclusionFor the patients of burn with moderate to severe inhalation injury,bronchoalveolar lavage technique can significantly improve the healing time of the airway mucosa,reduce the incidence rate of pulmonary infection and positive sputum culture,and increase the survival rate.Key Words:Burns;Inhalation injury;Bronchoalveolar lavage;Fiberoptic bronchoscopy

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参考文献：

［1］朱颉,贺全勇,李萍.纤维支气管镜在吸入性损伤中的应用评价\[J\].中国内镜杂志,2003,9:4.

［2］李云彪.电子支气管镜在烧伤烫伤患者中行肺泡灌洗的疗效观察\[J\].中国现代药物应用,2011,5:3.

(收稿日期：2015\|05\|08)

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