| 不同采样技术对社区获得性肺炎病原学的诊断价值 |
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| 引用本文： | 徐毛冶,刘艳茹,张青梅. 不同采样技术对社区获得性肺炎病原学的诊断价值[J]. 国际呼吸杂志, 2009, 29(20). DOI: 10.3760/cma.j.issn.1673-436X.2009.020.005 |
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| 作者姓名： | 徐毛冶 刘艳茹 张青梅 |
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| 作者单位： | 内蒙古自治区医院呼吸内科,呼和浩特,010017;内蒙古自治区医院呼吸内科,呼和浩特,010017;内蒙古自治区医院呼吸内科,呼和浩特,010017 |
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| 摘 要： | 目的 比较不同检查方法对社区获得性肺炎的诊断价值及安全性.方法 将60例社区获得性肺炎住院患者随机分成2组,每组30例,分别行支气管镜下防污染样本毛刷采样(PSB)检查或经支气管镜支气管肺泡灌洗(BAL)定量培养.60例患者均行痰培养.结果 PSB的阳性率为63.3%(19/30),BAL的阳性率为80.0%(24/30),痰培养的阳性率为30.0%(18/60).结论 PSB和BAL对诊断社区获得性肺炎敏感性及特异性比较高,严重并发症少见.
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| 关 键 词： | 社区获得性肺炎 防污染样本毛刷采样 支气管肺泡灌洗 |
Diagnostic value of different sampling techniques for community acquired pneumonia |
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| XU Mao-ye,LIU Yan-ru,ZHANG Qing-mei. Diagnostic value of different sampling techniques for community acquired pneumonia[J]. International Journal of Respiration, 2009, 29(20). DOI: 10.3760/cma.j.issn.1673-436X.2009.020.005 |
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| Authors: | XU Mao-ye LIU Yan-ru ZHANG Qing-mei |
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| Abstract: | Objective To compare the diagnostic value and safety of different methods for community acquired pneumonia.Methods Sixty patients with community acquired pneumonia were randomly divided into two groups,each group had 30 cases.Two groups received the detection of protected specimen brush (PSB) or quantitative culture of brochoalveolar lavage (BAL) with bronchoscopy respectively.At the same time sputum culture was made in all cases.Results The positive rates of PSB,BAL and sputum culture were 63.3% (19/30),80.0% (24/30) and 30.0% (18/60),respectively.Conclusions The sensitivity and specificity of PSB and BAL in diagnosing community acquired pneumonia are higher,and severe complication is infrequent. |
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| Keywords: | Community acquired pneumonia Protected specimen brush Bronchoalveolar lavage |
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