纤维支气管镜在呼吸衰竭机械通气患者中的应用

目的 探讨纤维支气管镜(纤支镜)在呼吸衰竭机械通气患者中的临床价值.方法 急诊科病区ICU(EICU)2006年1月至2007年6月应用纤维支气管镜抢救44例呼吸衰竭机械通气患者(治疗组),2005年1月至2006年1月35例呼吸衰竭机械通气患者未用纤支镜术(对照组),比较两组患者的抗生素使用天数、机械通气天数及死亡率.结果 治疗组患者抗生素使用天数、机械通气天数及死亡率均明显低于对照组(P<0.05),在纤支镜吸痰过程中未出现出血、气胸等并发症.结论 在呼吸衰竭机械通气患者中应用纤支镜安全有效,可以缩短机械通气时间、降低死亡率,值得临床推广应用.

Application of bronchofibroscope to the patients with respiratory failure treated by mechanical ventilation

Objective To investigate the clinical value of bronchofibroscope to the patients with respiratory failure treated by mechanical ventilation. Methods 44 patients with respiratory failure treated by mechanical venti-lation who were rescued with bronchofibroscope in EICU from January 2006 to June 2007 were compared the days of antibiotic application, the days of mechanical ventilation and mortality rate with 35 patients with respiratory failure treated by mechanical ventilation but not using bronchofibroscope during January 2005 to January 2006. Results Compared with the control group, the therapy group had fewer days of antibiotic application, fewer days of mechani-cal ventilation and lower mortality rate(P < 0.05). During absorbing expectoration with bronchofibroscope, compli-cation such as haemorrhage did not happen. Conclusion Bronchofibroscope application in the patients with respira-tory failure treated by mechanical ventilation can shorten the time of mechanical ventilation and cut down the mortal-ity rate,which was worth generalizing in clinical work.