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1989年以来本科采用纤维支气管镜(下称纤支镜)协助危重肺心病人吸痰31人共37次收到显著疗效。对象和方法31例均为住院患者,年龄56～70岁(平均59.9岁),男29例,女2例,诊断为慢性支气管炎合并感染、阻塞性肺气肿、慢性肺心病Ⅱ型呼吸衰竭,符合公认的诊断标准,均进行综合治疗。因痰臃积于气道无力喷出,采用Olympus—FB—B_3R型纤支镜经鼻插入气管、支气管行纤支镜下吸痰(下称吸痰)。随机选择同期住院的年龄、性别相近,诊断治疗原则相同但未行纤支镜吸痰的32(?)做对照。结果一、31人共吸痰37次,吸出痰量30～300毫升不等,29人经首次吸痰后临床症状改善,意识障碍20人中18人吸痰后半小时内意识转清醒,37次吸痰后PaO_2平均提高1.81kPa,SaO_2平均提高14.14%,呼
Since 1989, undergraduate bronchoscopy (hereinafter referred to as bronchoscopy) to assist critically ill patients with pulmonary heart suction 31 people received a total of 37 times a significant effect. Subjects and methods All 31 patients were hospitalized, aged 56 to 70 years (mean 59.9 years), 29 males and 2 females, diagnosed as chronic bronchitis infection, obstructive pulmonary emphysema, chronic pulmonary heart disease type Ⅱ respiratory failure , In line with recognized diagnostic criteria, are comprehensive treatment. Due to phlegm bloating in the airways unable to discharge, the use of Olympus-FB-B_3R bronchoscopy nasal intubation bronchial bronchoscopy under suction (hereinafter referred to as suctioning sputum). Randomly select the same period of hospitalization age, gender, diagnosis and treatment of the same principle but without the bronchoscopy suction sputum 32 (?) As a control. Results 31, a total of 37 sputum suction, suction sputum volume ranging from 30 to 300 ml, 29 patients after the first suction to improve clinical symptoms, disturbance of consciousness in 20 people 18 within half an hour after sputum consciousness turn sober, 37 After suctioning, the average PaO_2 increased by 1.81kPa, while the average SaO_2 increased by 14.14%