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目的:观察支气管灌洗术联合无创正压通气(NPPV)治疗COPD呼吸衰竭合并意识障碍患者的疗效及安全性。方法:选择入住呼吸科的COPD急性加重期(AECOPD)呼吸衰竭合并轻中度意识障碍的患者46例,给予NPPV治疗,同时根据气道分泌物情况给予1～3次床旁气管镜下支气管灌洗术。结果:经联合治疗后,43例血气指标明显改善,好转出院,3例病情进行性恶化,总有效率93.48%。无严重并发症发生。结论:NPPV联合支气管灌洗术治疗AECOPD呼吸衰竭合并轻中度意识障碍患者,疗效确切,安全性高。
Objective: To observe the efficacy and safety of bronchial lavage combined with noninvasive positive pressure ventilation (NPPV) in the treatment of COPD patients with COPD. Methods: Forty-six patients with acute exacerbation of COPD (AECOPD) respiratory failure and mild to moderate disturbance of consciousness were enrolled in the Department of Respiratory Medicine. NPPV treatment was given. One to three bedside bronchoscopic bronchial tubes were given according to the airway secretions Wash. Results: After the combination therapy, the blood gas indexes of 43 cases were significantly improved, discharged and discharged, 3 cases of progressive deterioration, the total effective rate was 93.48%. No serious complications occurred. Conclusion: NPPV combined with bronchoalveolar lavage treatment of AECOPD respiratory failure with mild to moderate disturbance of consciousness, the curative effect is exact and safe.