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目的:探讨纤维支气管镜灌洗术在小儿难治性肺炎治疗中的价值。方法:将2009年3月~2010年3月吉林大学第一临床医院儿内一科收治的64例难治性肺炎患儿随机分为两组。对照组32例,给予抗感染、祛痰、对症及支持等常规治疗;纤维支气管镜组32例,在常规治疗的基础上加用纤维支气管镜灌洗及注药。观察两组患儿体温恢复正常时间、影像学恢复正常时间(包括胸片及/或肺CT)、平均住院日及留有肺不张等后遗症例数。结果:两组比较,纤维支气管镜组在上述各方面均明显优于对照组。结论:纤维支气管镜灌洗术辅助治疗小儿难治性肺炎具有良好疗效,值得推广。
Objective: To investigate the value of fiberoptic bronchoscopy in the treatment of children with refractory pneumonia. Methods: 64 children with refractory pneumonia admitted to the First Clinical Hospital of Jilin University from March 2009 to March 2010 were randomly divided into two groups. Control group of 32 cases, given anti-infective, expectorant, symptomatic and supportive and other conventional treatment; 32 cases of bronchoscopy group, in the conventional treatment based on the use of fiberoptic bronchoscopy lavage and injection. The duration of normal temperature recovery, the normal time of imaging recovery (including chest radiograph and / or lung CT), the average length of stay and the number of sequelae of atelectasis were observed in both groups. Results: Compared with the two groups, the bronchoscopy group was significantly better than the control group in all the above aspects. Conclusion: Fiberoptic bronchoscopy lavage adjuvant treatment of children with refractory pneumonia has a good effect, it is worth promoting.