纤支镜肺泡灌洗抢救重度酒精中毒误吸后急性呼吸衰竭

目的研究重度酒精中毒误吸后呼吸衰竭的有效急救方法.方法以经人工气道纤支镜肺泡灌洗及机械通气28例为治疗组,综合治疗30例为对照组,比较两组呼吸衰竭疗效、死亡率、后遗症、意识转清时间及住院周期.结果治疗组呼吸衰竭缓解较对照组快,无病人死亡,无后遗症,意识转清时间及住院周期短.结论经人工气道纤维支气管镜肺泡灌洗及机械通气抢救重度酒精中毒误吸后呼吸衰竭有效、安全.

Rescue of acute respiratory failure caused by aspiration after severe alcoholism with alveolar lavage using fiberbronchoscope

Objective To explore the effective first-aid method on acute respiratory failure caused by aspiration after severe alcoholism.Method 28 patients using mechanical ventilation and alveolar lavage by fiberbronchoscope were collected as treatment group,30 patients without the lavage treatment as control group,compared the curative effect of acute respiratory failure,death rate,sequela,time to get consciousness and hospitalization period.Result The treatment group showed quicker remission of acute respiratory failure and shorter time to get consciousness and less hospitalization period,no patient died and no sequela.Conclusion Alveolar lavage by fiberbronchoscope combined with mechanical ventilation is a effective and safe technique for rescuing the acute respiratory failure caused by aspiration after severe alcoholism.