大型“C”臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿的临床观察

发布时间：2018-09-08 08:51

【摘要】：目的探讨大型"C"臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿的疗效。方法将12例肺脓肿患者随机分为治疗组和对照组,每组各6例。对照组患者予以止咳、化痰、抗感染及体位引流等常规治疗。治疗组患者在上述治疗的基础上加用大型"C"臂实时引导下经电子支气管镜小导管脓腔冲洗治疗。两组患者的疗程均为3周。结果对照组患者的总有效率为68.8%;治疗组患者的总有效率为100.0%,两组总有效率比较差异有统计学意义(P0.05)。治疗组患者的住院时间、抗生素应用时间及血降钙素原恢复正常时间均较对照组明显缩短(P0.05)。治疗组电子支气管镜治疗过程中未出现严重并发症。结论大型"C"臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿具有疗效确切、治愈率高、疗程短的特点。
[Abstract]:Objective to investigate the effect of large-scale "C" arm real-time guided drainage with small catheter under electron bronchoscope for the treatment of pulmonary abscess. Methods 12 patients with pulmonary abscess were randomly divided into treatment group and control group with 6 cases in each group. The patients in the control group were treated with antitussive, phlegm, anti-infection and postural drainage. The patients in the treatment group were treated with large "C" arm real-time guided drainage via small catheter under electronic bronchoscope on the basis of the above treatment. The course of treatment was 3 weeks. Results the total effective rate of the control group was 68.8 and the total effective rate of the treatment group was 100.0.The difference of the total effective rate between the two groups was statistically significant (P0.05). The hospitalization time, antibiotic application time and serum procalcitonin recovery time in the treatment group were significantly shorter than those in the control group (P0.05). There were no serious complications in the treatment group. Conclusion the treatment of pulmonary abscess with large "C" arm real-time guided by electron bronchoscope with small ductus purulent cavity is effective, with high cure rate and short course of treatment.
【作者单位】：宝鸡市人民医院呼吸科;咸阳市人民医院呼吸科;第四军医大学西京医院呼吸危重症医学科;西安交通大学医学院第二附属医院呼吸科;
【分类号】：R563.2

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