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目的观察纤维支气管镜下支气管肺泡灌洗治疗脑出血并肺部感染的疗效。方法将64例严重脑出血并肺部感染患者随机分为两组,治疗组32例,对照组32例。对照组给予间断吸痰、雾化、抗生素应用、营养支持等综合治疗,治疗组在以上综合治疗的基础上经纤维支气管镜下支气管肺泡灌洗。对两组患者临床症状、体征及有效率进行分析。结果治疗组症状体征改善时间较对照组明显缩短(P<0.05)。临床有效率明显优于对照组。结论纤维支气管镜下支气管肺泡灌洗治疗脑出血并肺部感染是安全有效的,值得临床推广。
Objective To observe the curative effect of bronchoalveolar lavage with bronchoscope on cerebral hemorrhage and pulmonary infection. Methods Sixty-four patients with severe cerebral hemorrhage and pulmonary infection were randomly divided into two groups: treatment group (32 cases) and control group (32 cases). The control group were given intermittent suction sputum, atomization, antibiotics, nutritional support and other comprehensive treatment, the treatment group in the above comprehensive treatment based on bronchoscopic bronchoalveolar lavage. The clinical symptoms, signs and efficiency of the two groups were analyzed. Results The improvement of symptoms and signs in the treatment group was significantly shorter than that in the control group (P <0.05). Clinical efficiency was significantly better than the control group. Conclusion Bronchofibroscopic bronchoalveolar lavage is safe and effective in the treatment of cerebral hemorrhage and pulmonary infection and is worthy of clinical promotion.