床旁纤维支气管镜技术在重症监护室的应用

目的 探讨床旁纤维支气管镜(简称纤支镜)技术在神经外科重症监护室的应用价值.方法 回顾性分析28例神经外科重症监护室患者接受纤支镜治疗的病例资料,包括血液及呕吐物误吸、肺泡灌洗、痰栓清除等治疗.结果 4例血液或呕吐误吸物得到及时清除,呼吸功能改善,31例次纤支镜吸痰、肺泡灌洗,31例次纤支镜取痰病原学培养,阳性率100%,4例肺不张纤支镜吸除痰栓肺复张.结论 床旁纤支镜技术,可有效排痰,清除异物,在治疗神经外科重症监护室患者合并呼吸道疾患方面具有较大的应用价值.

Application of bed fiber bronchial microscope technology in nenrosurgical ICU

Objective To research the value of bed fiber bronchial microscope technology ha neurosurgical ICU. Methods 28 cases in neurosuxgical ICU who had received bed fiber bronchial microscope operations,including blood and vomit aspiration, bronchoalveolar lavage, sputum bolt clearance were retrospectively analyzed. Results 4 cases of blood and vomit aspiration was cleaned ha time,improvement of respiratory function,31 cases was sputum as- piration by bed fiber bronchial microscope and bronchoalveolax lavage, 31 cases was sputum collected by fiber bronchial microscope and positive rate is 100% ,4 cases of atelectasis was lung recruitment by fiber bronchial micro- scope sputum aspiration. Conclusion Bed fiber bronchial microscope technology can eliminate waste effectivdy, clean dust,there axe great value in treatment of neurosurgical ICU patients with respiratory diseases.