电子支气管镜在重症破伤风合并肺部感染患者中的应用观察

Application of electron bronchoscopy in severe tetanus complicated with pulmonary infection

摘要:

目的??探讨电子支气管镜在重症破伤风合并肺部感染患者中的应用价值。方法??对重症破伤风合并肺部感染的58例患者行床旁电子支气管镜检查和肺泡灌洗及局部用药治疗，对其血气分析指标、急性生理与慢性健康-Ⅱ（APACHE-Ⅱ）评分及临床肺部感染（CPIS）评分的变化进行前后自身对照，并观察其插管时间，痰培养阳性率。结果??58例重症破伤风合并肺部感染患者经电子支气管镜吸痰、肺泡灌洗，症状均改善；治疗后血气分析指标、APACHE-Ⅱ评分及CPIS评分均明显好转（P <0.05）。结论??电子支气管镜在重症破伤风合并肺部感染患者的救治中是一种安全、有效的治疗手段。

Abstract:

Objective?To investigate the application of electron bronchoscopy in severe tetanus complicated with pulmonary infection.?Methods?58 patients with severe tetanus complicated with pulmonary infection underwent bedside electronic bronchoscopy and bronchoalveolar lavage, then compare the blood gas analysis index, APACHE-Ⅱ scores and the CPIS changes before and after bronchoscopy procedure, and observe the intubation time.?Results?After bronchoscope sputum and bronchoalveolar lavage, all 58 patients’ symptoms were improved; after treatment, blood gas analysis index, APACHE-Ⅱ score and the CPIS were improved significantly (P < 0.05). ?Conclusion?Electron bronchoscopy is a safe and effective method in treatment of severe tetanus complicated with pulmonary infection.