纤维支气管镜抢救呼吸重症患者的临床意义.docVIP

纤维支气管镜抢救呼吸重症患者的临床意义 Clinical significance of fiberoptic bronchoscopy to rescue patients in respiratory intensive. 【摘要】目的：观察纤维支气管镜在呼吸重症患者抢救中的作用和意义。方法：采用就诊顺位分组法，将符合条件的呼吸重症患者70例分为两组，单数35例患者于纤维支气管镜下经鼻插管并清理呼吸道，双数35例患者给予常规呼吸机辅助通气，观察两组通气指标改善情况。结果：两组呼吸重症患者治疗后PH 、PaO2较治疗前明显升高，PaCO2 较治疗前明显降低(P＜0.05＜0.05±0.6）d和（4.1±1.3）d，拔管时间分别为（5.7±1.0）d和（7.6±1.8）d，明显短于对照组(P＜0.05 [Abstract] Objective: observation and significance of fiberbronchoscope in rescuing patients with severe respiratory function. Methods: the clinic CIS grouping method, will be in our hospital were in line with the conditions of the respiratory intensive 70 patients were divided into two groups, 35 patients in the singular fiber bronchoscopic intubation via the nose and clean up the respiratory tract, 35 cases of patients were given conventional dual ventilator assisted ventilation, ventilation index were observed in the two groups to improve the situation. Results: the two groups of patients with severe respiratory PH after treatment, PaO2 significantly after treatment, PaCO2 significantly lower than that before treatment (P 0.05). Patients in the observation group after treatment PH, PaO2 increased significantly greater than the control group, PaCO2 significantly less than the control group (P 0.05). The observation group multiple injuries complicated with respiratory failure and COPD complicated with respiratory failure patients consciousness recovery time were (3.7 + 0.6) D and (4.1 + 1.3) d, the extubation time were (5.7 + 1) D and (7.6 + 1.8) d, significantly shorter than the control group (P 0.05). Conclusion: fiberoptic bronchoscopy in patients with severe respiratory airway secretion clearance based on intubation, better relieve airway obstruction, shorten the time of sober, improving ventilation condition has the positive function. [keyword] fiberoptic bronchoscopy; respiratory intensive; rescue; significance 纤维支气管镜的主要作用是诊断肺部中心性病变[1]。近年来，临床对纤维支气管镜的作用和功能有了进一步的认识，使其不仅在诊断中发挥作用，而且成为抢救重症呼吸衰竭患者的理想工具，包括在纤维支气管镜