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目的 :观察重症脑卒中合并肺部感染早期经纤支镜吸痰和灌洗的临床疗效。方法 :将 83例重型脑卒中合并肺部感染患者 ,在综合治疗基础上早期经纤支镜灌洗吸痰。 42例为治疗组 (A组 ) ,综合治疗 41例为对照组 (B组 ) ,治疗后对体温、白细胞及其疗效进行分析。结果 :A组有效率显著高于B组 (P <0 .0 1 ) ;治疗后第 6天 ,A组体温及白细胞计数与B组比较 ,差异有显著意义 (P <0 .0 5)。结论 :经纤支镜灌洗吸痰是一种安全有效的治疗重型脑卒中并发肺部感染的方法 ,值得推广应用
Objective: To observe the clinical effect of suctioning and lavage by fiberoptic bronchoscopy in patients with severe stroke and pulmonary infection. Methods: Eighty-three patients with severe stroke complicated with lung infection were enrolled in this study. 42 cases were treated group (A group) and 41 cases were treated as control group (B group). After treatment, body temperature, white blood cells and their efficacy were analyzed. Results: The effective rate of group A was significantly higher than that of group B (P <0.01). On the 6th day after treatment, the difference of body temperature and white blood cell count between group A and group B was significant (P <0.05). CONCLUSION: Perfusion with bronchofibroscopy is a safe and effective method for the treatment of severe stroke complicated with pulmonary infection, which is worthy of popularization and application