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目的:分析支气管灌洗术在慢性阻塞性肺疾病急性加重期(AECOPD)治疗中的效果。方法:回顾性分析40例慢性阻塞性肺疾病急性加重期患者,经纤支镜吸痰、支气管灌洗术治疗并局部给药丁胺卡那0.4g的治疗情况。结果:通过纤支镜灌洗并注药治疗,患者经皮血氧饱和度明显上升,咳嗽、咳痰明显减轻、肺部感染能较快有效控制。结论:支气管灌洗术治疗慢性阻塞性肺疾病急性加重期效果显著且安全可行。
Objective: To analyze the effect of bronchial lavage in the treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: Forty patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) were retrospectively analyzed. Patients were treated with bronchoscopy, bronchoalveolar lavage, bronchial lavage, and local administration of 0.4 mg of amikacin. Results: Through the bronchofiberscopy and injection therapy, the patients’ percutaneous oxygen saturation increased obviously, the cough and sputum were obviously relieved, and the lung infection could be effectively and quickly controlled. Conclusion: Bronchial lavage is effective and safe in the treatment of acute exacerbation of chronic obstructive pulmonary disease.