双腔气管内插管单肺通气下行支气管肺泡灌洗术用于肺部感染的治疗效果研究

发布时间：2018-02-28 17:46

本文关键词： 双腔气管内插管单肺通气支气管肺泡灌洗术肺部感染　出处：《中华医院感染学杂志》2017年14期 　论文类型：期刊论文

【摘要】：目的探讨双腔气管内插管单肺通气麻醉支气管肺泡灌洗术在肺部感染患者中的治疗效果,为临床治疗提供参考依据。方法选择2013年6月-2015年9月在医院接受支气管镜肺泡灌洗术治疗的重症肺部感染患者98例随机分为观察组与对照组,各49例,观察组采用双腔气管内插管单肺通气全身麻醉下实施纤维支气管镜肺泡灌洗术治疗,对照组则给予单腔气管内插管全身麻醉下纤维支气管镜肺泡灌洗术治疗,比较两组患者治疗效果及并发症情况。结果观察组有效率为95.9%,显著高于对照组的81.6%(P0.05);两组均未出现憋气、低氧血症、出血、气管痉挛、液气胸等并发症。结论双腔气管内插管单肺通气全身麻醉下支气管肺跑灌洗术用于肺部感染的治疗,能够保证理想的麻醉效果,保证全身各组织器官的氧供,肺泡灌洗更彻底,疗效确切,安全可靠。
[Abstract]:Objective to investigate the effect of double lumen endotracheal intubation and single lung ventilation anesthesia bronchoalveolar lavage in patients with pulmonary infection. Methods 98 patients with severe pulmonary infection who received bronchoalveolar lavage from June 2013 to September 2015 were randomly divided into observation group and control group. The observation group was treated with double lumen endotracheal intubation and one lung ventilation under general anesthesia, while the control group was treated with fibrobronchoscopic alveolar lavage under general anesthesia of single lumen endotracheal intubation, while the control group was treated with fiberoptic bronchoalveolar lavage under general anesthesia of single lumen endotracheal intubation. Results the effective rate of the observation group was 95.9, which was significantly higher than that of the control group (P 0.05). Conclusion under double lumen endotracheal intubation and single lung ventilation, bronchoalveolar lavage can be used in the treatment of pulmonary infection, which can ensure the ideal anesthetic effect, oxygen supply to all tissues and organs of the whole body, and more complete alveolar lavage. The curative effect is accurate, safe and reliable.
【作者单位】：河南科技大学第一附属医院麻醉科;
【分类号】：R563.1

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