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目的探讨应用纤支镜支气管肺泡灌洗术治疗重症脑出血合并肺部感染的临床观察。方法对照组和实验组两组共72例患者,分别采用常规治疗及常规治疗加纤支镜支气管肺泡灌洗术,临床观察两组病例的效果。结果对照组病例肺部感染控制平均时间为(13.5±4.0)d,实验组病例肺部感染控制平均时间为(7.2±3.2)d,实验组患者的细菌培养阳性率明显高于对照组,两组病例使用统计学分析其疗效存在显著差异性(P<0.01)。结论纤支镜支气管肺泡灌洗术治疗重症脑出血合并肺部感染可作为一种简单、安全而十分有效的治疗方法。
Objective To investigate the clinical observation of bronchoflexus bronchioalveolar lavage for severe cerebral hemorrhage complicated with pulmonary infection. Methods A total of 72 patients in the control group and experimental group were treated with routine therapy and bronchofullural bronchofacial bronchofluctomy, and the clinical effects of the two groups were observed. Results The average duration of pulmonary infection control in the control group was (13.5 ± 4.0) days. The average duration of pulmonary infection control in the experimental group was (7.2 ± 3.2) days. The positive rate of bacterial culture in the experimental group was significantly higher than that in the control group There was significant difference in the curative effect between the two groups (P <0.01). Conclusion Bronchofibroscope bronchoalveolar lavage for treatment of severe intracerebral hemorrhage with pulmonary infection can be used as a simple, safe and very effective treatment.