資源描述：
《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》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
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
