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1、床邊纖維支氣管鏡在搶救呼吸系統(tǒng)急危重癥患者中的應(yīng)用第6卷第4期2010年4月亞太傳統(tǒng)醫(yī)藥Asia一PacificTraditionalMedicineV01.6NO.4Apr.2010床邊纖維支氣管鏡在搶救呼吸系統(tǒng)急危重癥患者屮的應(yīng)用林敏芳,洪旭初,徐順貴,葉玲,林勁榕,楊萍(福建省人民醫(yī)院/福建中醫(yī)學(xué)院附屬人民醫(yī)院呼科內(nèi)科,福建福州350004)摘要:目的:探討床邊纖維支氣管鏡在急診搶救呼吸系統(tǒng)急,危重癥患者的應(yīng)用價值.方法:對床邊纖支鏡在急診搶救呼吸系統(tǒng)的急,危重癥患者29例進行回顧性分析.結(jié)果:29例患者
2、床邊纖支鏡急診檢查,其屮纖維支氣管鏡引導(dǎo)下經(jīng)鼻氣管插管3例(纖維支氣管鏡經(jīng)口氣管插管改經(jīng)鼻氣管插管1例),纖維支氣管鏡吸痰治療在慢性阻塞性肺疾病急性加重期的治療11例(其中9例行有創(chuàng)機械通氣治療),難治性重癥肺部感染10例(其中昏迷患者氣管切開行床邊纖維支氣管鏡灌洗術(shù)3例,痰栓致急性肺不張5例),纖維支氣管鏡肺泡灌洗在呼吸機相關(guān)性肺炎中的應(yīng)用3例,用纖維支氣管鏡灌洗輔助治療重癥支氣管哮喘2例?結(jié)論:床邊纖支鏡搶救呼吸系統(tǒng)的急危重癥患者安全,有效,對危重病人的搶救起著重要的作用.關(guān)鍵詞:纖維支氣管鏡:呼吸系統(tǒng):急
3、危重癥中圖分類號:R459.7文獻標識碼:A文章編號1673—2197(2010)04—0047—03ApplicationofBedsideFibrobronchoscopeinEmergencyBreathingSystemtoAcuteandCriticalPatientsLinMinfang,HongXuchu,XuShungui,YeLing,LinJinrong5YangPing(DepartmentofRespiratoryMedicine4hePeoplesHospitalofFujianPro
4、vince5affiliatedhospitalofFujianUniversityofTraditionalChinesemedicine,Fuzhou,350001)Abstract:Purpose:Studytheapplicationofbedsidefibrobronchoscopeinemergencybreathingsystemtoacuteandcriticalpatients-Method:Theapplicationofbedsidefibrobronchoscopeinemergency
5、breathingsystemto29casesofacuteandcriticalpatientsiSanalyzed.Result:29patientswereexaminedusingbedsidefibrobronchoscope.with3casestreatedbynasotrachealintubation(1casewasplannedtotreatedbyoral一endotrachealintubation.butwaseventuallytreatedbynasotrachealintub
6、ation).11casestreatedbysputumsuctionusingbedsidefibrobronchoscopeintheexacerbationstageofchronicobstructivepulmonarydiseasef9casesinvolvinginvasivemechanicalventilation).10casesofrefractorypulmonaryinfection(3patientswithcomatreatedbylavageusingbedsidefibrob
7、ronchoscopeaftertracheotomy,and5casesofacuteatelectasiscausedbysputumblockage),3casesofventilatorassociatedpneumoniatreatedbyalveolarlavageusingbedsidefibrobronchoscope.and2casesofseverebronchialasthmatreatedbylavageusingbedsidefibrobronchoscope.Conclusion:T
8、heemergencybreathingsystemwithbedsidefibrobronchoscopeiSsafeandeffectiveforacuteandcriticalpatients.andplaysanimportantroleintheemergencytreatmentoftheacuteandcriticalpatients.levWords:BedsideFi