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目的探讨床旁纤维支气管镜诊治多发肋骨骨折致阻塞性肺不张的临床效果。方法 100例多发肋骨骨折致阻塞性肺不张患者,随机分为观察组和对照组,各50例。对照组采用常规治疗,观察组采用床旁纤维支气管镜治疗。对比两组疗效。结果治疗后,观察组临床症状消退时间(2.69±1.87)d、并发症发生率(2.00%)、住院时间(6.58±2.58)d均优于对照组[(6.98±1.25)d、22.00%、(13.25±5.98)d],差异均具有统计学意义(P<0.05)。结论床旁纤维支气管镜诊治多发肋骨骨折致阻塞性肺不张患者效果显著。
Objective To investigate the clinical effect of bedside fiberoptic bronchoscopy in diagnosis and treatment of obstructive atelectasis caused by multiple fractures of the ribs. Methods One hundred cases of obstructive atelectasis caused by multiple rib fractures were randomly divided into observation group and control group, with 50 cases each. The control group was treated by conventional therapy, and the observation group was treated by bedside fiberoptic bronchoscopy. Compare two groups curative effect. Results After treatment, the clinical symptom regression time (2.69 ± 1.87) d, the complication rate (2.00%) and hospital stay (6.58 ± 2.58) days in the observation group were significantly higher than those in the control group [(6.98 ± 1.25) days and 22.00% (13.25 ± 5.98) d], the differences were statistically significant (P <0.05). Conclusion Bedside fibrobronchoscopy diagnosis and treatment of multiple rib fractures caused by obstructive atelectasis patients with significant effect.