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目的:总结纤维支气管镜在ICU重症患者中的诊断、治疗价值。方法:回顾性分析我院86例危重患者的临床资料,对135例次纤维支气管镜操作前后患者的情况进行了比较分析。结果:利用纤维支气管镜吸取的痰标本的阳性率高,对各种原因所致的呼吸衰竭都有明显改善,并减小了肺部感染灶,改善了血气分析情况。在纤维支气管镜的协助下增加了气管及食管插管的成功率。结论:纤维支气管镜在ICU重症患者的诊断与治疗方面有特殊的作用,并且有安全、有效的特点,在临床应用上有重要价值。
Objective: To summarize the diagnostic and therapeutic value of fibrobronchoscopy in severe ICU patients. Methods: The clinical data of 86 critically ill patients in our hospital were analyzed retrospectively. The situation of 135 patients before and after the operation of bronchoscopy was compared. Results: The positive rate of sputum samples taken by fiberoptic bronchoscopy was significantly improved for various causes of respiratory failure, and the lung lesion was reduced and blood gas analysis was improved. With the help of fiberoptic bronchoscopy increased tracheal and esophageal intubation success rate. Conclusion: Fiberoptic bronchoscopy has a special role in the diagnosis and treatment of ICU critically ill patients, and it is safe and effective, which is of great value in clinical application.