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目的:探讨经肺导管用碘伏及硝酸银稀释液治疗难治性肺感染及耐药肺结核的方法与疗效。方法:常规纤支镜检查,防污毛刷取样做病原学检查后以0.5 % 碘伏灌洗感染部位,粘膜糜烂明显时局部喷洒0.5 % 硝酸银,并留置肺导管,此后每天经肺导管向支气管内注入0 .5% 碘伏。结果:常见耐药菌(包括耐药结核杆菌)均对碘伏敏感,36 例患者均治愈。结论:经肺导管应用碘伏及硝酸银稀释液治疗难治性肺感染及多重耐药肺结核方法简单,经济可靠,疗效确切
Objective: To investigate the method and effect of pulmonary catheter iodophor and silver nitrate dilution in the treatment of refractory pulmonary infection and drug-resistant pulmonary tuberculosis. Methods: Conventional fiberoptic bronchoscopy, anti-fouling brush sampling after etiological examination with 0.5% iodophor lavage the site of infection, mucosal erosion is obvious when spraying 0.5% silver nitrate and indwelling pulmonary catheter, after each day by the pulmonary catheter Bronchial injection of 0.5% iodophor. Results: Common drug-resistant bacteria (including drug-resistant Mycobacterium tuberculosis) were sensitive to iodophor, 36 patients were cured. Conclusion: The treatment of refractory pulmonary infection and multidrug-resistant pulmonary tuberculosis with iodophor and silver nitrate dilution by the pulmonary catheter is simple, reliable, and effective