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目的探讨经纤支镜肺泡灌洗治疗AECOPD并呼吸衰竭临床疗效。方法选取42例经常规对症治疗、无创机械通气治疗未有效改善的AECOPD并呼吸衰竭患者,给予经纤支镜肺泡灌洗治疗。结果 42例患者中,治愈35例、好转6例、死亡1例,总有效率为97.62%;治疗后2h、8h、24h各时间点血气指标、呼吸频率、心率变化均明显优于治疗前(P<0.05)。结论经纤支镜肺泡灌洗治疗能有效清除气道分泌物,改善临床症状,且安全可靠。
Objective To investigate the clinical efficacy of bronchoalveolar lavage in the treatment of AECOPD and respiratory failure. Methods A total of 42 patients with AECOPD and respiratory failure who were treated by conventional symptomatic and non-invasive mechanical ventilation were selected and treated with bronchoalveolar lavage. Results Among the 42 patients, 35 cases were cured, 6 cases improved and 1 died. The total effective rate was 97.62%. The changes of blood gas index, respiratory rate and heart rate at 2h, 8h and 24h after treatment were significantly better than those before treatment P <0.05). Conclusion Bronchoscopy bronchoalveolar lavage can effectively clear airway secretions and improve clinical symptoms, and is safe and reliable.