论文部分内容阅读
【目的】探讨支气管肺泡灌洗术(bronchoalveolar lavage,BAL)治疗儿童感染性肺不张的疗效及安全性。【方法】选取在本院住院确诊为感染性肺不张患儿80例,对照组40例为同时期根据痰培养和药敏结果选择抗菌素进行常规治疗,治疗组40例在纤维支气管镜下行支气管肺泡灌洗术联合常规治疗;4周后观察两组症状、肺部体征及肺部X线或CT变化,并观察并发症发生情况。【结果】治疗组疗效优于对照组,两组比较差异有统计学意义(P<0.01),4周后呼吸道症状、肺部体征治疗组明显较对照组好转消失快(P<0.01)及肺部X或CT吸收情况治疗组明显较对照组快(P<0.05)。治疗组并发症发生率:出血2.5%,发热5%,喉头水肿2.5%,支气管痉挛2.5%,紫绀2.5%。【结论】儿童感染性肺不张早期行支气管肺泡灌洗术可促使肺泡液排出,炎症吸收,使肺尽早复张,疗效确切,且安全性高,值得推广应用。
【Objective】 To investigate the efficacy and safety of bronchoalveolar lavage (BAL) in the treatment of infectious atelectasis in children. 【Methods】 Eighty children with infective atelectasis admitted to our hospital were selected as the control group. Forty cases in the control group were given routine antibiotics according to sputum culture and susceptibility test. Forty patients in the treatment group underwent bronchoscopy Bronchoalveolar lavage combined with conventional treatment; after 4 weeks, two groups were observed symptoms, lung signs and lung X-ray or CT changes, and observe the incidence of complications. 【Results】 The curative effect of the treatment group was better than that of the control group. There was significant difference between the two groups (P <0.01). After 4 weeks, the symptoms of the respiratory tract and the signs of the lungs were better than those of the control group (P <0.01) Department X or CT absorption of the treatment group was significantly faster than the control group (P <0.05). The incidence of complications in the treatment group: bleeding 2.5%, fever 5%, laryngeal edema 2.5%, bronchospasm 2.5%, cyanosis 2.5%. 【Conclusions】 Bronchoalveolar lavage can promote the excretion of alveolar fluid and the absorption of inflammation in early stage of atelectasis in children. It makes the lung reexplosive as soon as possible, which has the exact curative effect and high safety. It is worth popularizing and applying.