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目的 探讨经纤维支气管镜对急慢性呼吸衰竭病因治疗的临床价值。方法 对 31例住院患者经血气分析确诊为呼吸衰竭 ,且经常规抗感染及祛痰治疗等方法不能纠正者 ,在纤维支气管镜下负压吸引清除气道分泌物 ,盐水反复冲洗及局部应用抗菌素 2 5例 ,气管插管 2例 ,镜下局部微波治疗解除癌性梗阻 4例。结果 30例明显缓解 ,尤以急性感染阻塞者疗效明显 ,且持续时间长 ;而慢阻肺并感染或合并心功能不全者疗效较差。术中无严重并发症出现。结论 经纤维支气管镜对急慢性呼吸衰竭病因的治疗疗效迅速、安全方便
Objective To investigate the clinical value of bronchofibroscopy in the treatment of the etiology of acute and chronic respiratory failure. Methods 31 cases of hospitalized patients were diagnosed as respiratory failure by blood gas analysis, and routine anti-infective and expectorant treatment can not be corrected by negative pressure in bronchoscopy suction to clear airway secretions, repeated washing saline and topical application of antibiotics 25 cases, 2 cases of endotracheal intubation, local microwave treatment of cancerous obstruction in 4 cases. The results of 30 cases were significantly relieved, especially in patients with acute infection obstruction obvious effect, and long duration; and chronic obstructive pulmonary infection or with poor cardiac function. No serious complications occurred during surgery. Conclusion The treatment of etiology of acute and chronic respiratory failure by fiberoptic bronchoscopy is rapid, safe and convenient