机械通气联合纤维支气管镜治疗老年患者术后急性呼吸衰竭

目的探讨机械通气联合纤维支气管镜（纤支镜）治疗老年患者术后急性呼吸衰竭的疗效。方法将62例老年外科术后急性呼吸衰竭患者随机分为两组，治疗组（32例）采用纤支镜吸痰术和（或）支气管灌洗与机械通气联合治疗；对照组（30例）采用机械通气治疗。观察两组治疗后动脉血气分析结果的变化、机械通气时间、平均住ICU时间、一次拔管成功率、病死率。结果治疗组与对照组相比，动脉血气分析指标明显好转，机械通气时间、平均住ICU时间明显缩短（P〈0．05）；一次拔管成功率、病死率优于对照组，但差异无统计学意义（P〉0．05）。结论纤支镜与机械通气联合治疗老年患者外科术后急性呼吸衰竭疗效优于单用机械通气，可减少机械通气及平均住ICU时间，值得推广使用。

Effect of bronchofibroscope joint mechanical ventilation on the treatment of the geratic surgery postoperative patients with acute respiratory failure

Objective To explore the effect of bronchofibroscope joint mechanical ventilation on the treatment of the geratie surgery postoperative patients with acute respiratory failure.Methods 62 geratic surgery postoperagedative patients with acute respiratory failure were randomly divided into two groups(control group and treatment group).The treatment group(n=32) applyed bronchofibroscope aspiration and/or bronchial lavage joint mechanical ventilation.The control group(n=30) were treated only with mechanical ventilation.Compare with two groups parameters of arterial blood gas,the time of mechanical ventilation,average in ICU,success rate one time pull out windpipe conduit and case fatality rate.Results Compare with the control group,the treatment group patients parameters of arterial blood gas had been improved significantly;the time of mechanical ventilation and average in ICU had been cut short significantly;all showed a statistical difference(P<0.05).Success rate one time pull out windpipe conduit and case fatality rate were better than the control group,but there were no significant difference(P>0.05).Conclusion The effect of bronchofibroscope joint mechanical ventilation to treat the geratic surgery postoperative patients with acute respiratory failure was better than only mechanical ventilation,which can decrease the time of mechanical ventilation and average in ICU.The method was worth to spread.