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我们经纤维支气管镜(纤支镜)支气管灌洗后滴注阿米卡星治疗急性肺脓肿28例,取得较好疗效,总结如下。1 临床资料1.1 一般资料治疗组28例,男22例,女6例,年龄16～68岁。对照组26例,男20例,女6例,年龄17～66岁。两组性别、年龄、病程无明显差异。54例急性肺脓肿患者符合《实用肺脏病学》提出的诊断标准。X线胸片示脓腔直径为1.4～4.6 cm,平均3.4 cm。肺脓肿发生部位在右上叶前段5例,右上叶后段9例,右下叶背、后段24例,左上叶后段6例,左下叶背、后段10例。痰培养54例,其中阳性42例,主要病原菌为绿脓杆菌、金黄色葡萄球菌、大肠杆菌、链球菌、克雷
We bronchoscopy (bronchoscopy) bronchial lavage after infusion of amikacin in the treatment of acute lung abscess in 28 cases, achieved good effect, summarized as follows. 1 Clinical data 1.1 General Information Treatment group of 28 patients, 22 males and 6 females, aged 16 to 68 years. The control group of 26 patients, 20 males and 6 females, aged 17 to 66 years. Two groups of gender, age, duration of no significant difference. 54 patients with acute lung abscess meet the diagnostic criteria proposed by Practical Pulmonology. X-ray showed pus cavity diameter 1.4 ~ 4.6 cm, an average of 3.4 cm. Pulmonary abscess occurred in the anterior segment of right upper lobe in 5 cases, right upper lobe in 9 cases, right lower lobe in 24 cases, left upper lobe in 6 cases, left lower lobe in 10 cases and posterior segment. 54 cases of sputum culture, of which 42 were positive, the main pathogen Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli, Streptococcus, Cray