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自八十年代初我院开展治疗性支气管肺泡灌洗术(bronchial alveolar lavage,BAL)以来,经过10多年的临床实践,证明治疗性BAL是一项安全、有效的治疗措施。本文简要介绍治疗性BAL的方法,以及我们在抢救治疗肺部危重症中应用BAL的体会。方法与注意事项 治疗性BAL是通过纤维支气管镜(FB)来完成的。由于FB检查可引起患者PaO_2下降约1.33kPa左右,加上BAL后可使PaO_2进一步降低,这样对危重症患者尤其是低氧血症急者作治疗性BAL可能会带来一定的危险性。因此,必须要在十分安全的情况下才可进行BAL。危重症患者在BAL术前、
Since our hospital started the treatment of bronchial alveolar lavage (BAL) in the early eighties, after more than 10 years of clinical practice, it has been proved that therapeutic BAL is a safe and effective treatment. This article gives a brief introduction to the treatment of BAL and how we use BAL in the treatment of critically ill patients with lung disease. Methods and Precautions Therapeutic BAL is accomplished by bronchoscopy (FB). As the FB examination can cause patients PaO_2 decreased about 1.33kPa or so, coupled with BAL PaO_2 can be further reduced, so critically ill patients, especially hypoxemia acute patients for the treatment of BAL may bring some risk. Therefore, the BAL must be carried out under very safe conditions. Critically ill patients in the BAL before surgery,