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目的探讨纤支镜对ICU危重病患者的诊治价值。方法对于62例危重患者行床旁纤支镜检查、吸痰、灌洗、注药、引导下经鼻气管插管等。结果本组62例,显效36例,有效21例,无效5例,总有效率91.93%。标本阳性率92.30%,气管插管率为25.80%。结论纤支镜下检查诊治肺部炎症、损伤、肺不张及肺脓疡和引导气管插管,可提高救治成功率,减少气管插管、气管切开率。
Objective To investigate the value of fiberoptic bronchoscopy in the diagnosis and treatment of critically ill patients in ICU. Methods 62 cases of critically ill patients undergoing bedside fiberoptic bronchoscopy, suction, lavage, injection, guided by nasotracheal intubation and so on. Results The group of 62 cases, 36 cases markedly effective in 21 cases, 5 cases were ineffective, the total effective rate was 91.93%. Positive rate of 92.30% specimens, tracheal intubation rate was 25.80%. Conclusions Bronchofibroscopy can diagnose and treat pulmonary inflammation, injury, atelectasis, pulmonary abscess and tracheal intubation, which can improve the success rate of treatment and reduce tracheal intubation and tracheotomy.