秦超 曾春芳 王新

摘要：目的：为了进一步探讨纤支镜在临床治疗严重肺部感染合并肺不张中的临床实际效果，以便为严重肺部感染合并肺不张的临床研究和实践活动提供依据。方法：选取2013年8月——2014年10月期我院治疗的严重肺部感染合并肺不张患者66例，对其临床治疗经验进行了如下总结报道。结果：（1）肺部感染控制率和肺复张率组间比较，观察组患者的肺部感染控制率和肺复张率显著高于对照组，且组间数据比较差异显著（P均<0.05）；（2）两组患者的PH、PaO2、PaCO2等三项血气指标比较，观察组患者的三项指标均优于对照组，且组间数据比较差异显著（P均<0.05）。结论：在临床治疗严重肺部感染合并肺不张的实践过程中，采用纤支镜的临床治疗综合效果显著，是临床治疗严重肺部感染合并肺不张的理想选择方式之一。

纤支镜在严重肺部感染合并肺不张中的应用价值

关键词：纤支镜；严重肺部感染合并肺不张；应用价值

Abstract：Objective： To further investigate the clinical practical effect of bronchoscopy in severe pulmonary infection with atelectasis， so as to provide the basis for the clinical research of bronchoscopy in severe pulmonary infection with atelectasis. Methods： 66 cases of bronchoscopy in severe pulmonary infection with atelectasis in our hospital from August 2013 to October 2014 were chosen. The clinical treatment experience were reported and summarized. Results： （1） The control rate in lung infection and lung recruitment rate compared between the two groups， the rate of pulmonary infection control and lung recruitment rate in the observation group were significantly higher than the control group， and the data compared between the two groups， the differences were significant （P all < 0.05）. （2） The blood gas PH， PaO2， PaCO2 three indicators compared between the two groups， the three indicators in the observation group were better than the control group， and the data compared between the two groups， differences were significant （P <0.05）. Conclusion： The clinical practice and treatment of severe pulmonary infection with pulmonary atelectasis， the clinical treatment effect of bronchoscopy is remarkable， and it is one of the ideal ways for the clinical treatment of severe pulmonary infection atelectasis.

Key words： bronchoscopy； severe pulmonary infection with atelectasis； value

臨床实践经验证实[1]：严重的肺部感染可进一步导致相关患者出现肺不张的现象。特别是对于临床上身体机能水平相对低下的老年人群来说，如果他们出现肺不张的现象，其有效通气容积水平会出现急速降低的现象，导致患者的临床通气功能出现较大的问题，从而影响患者的电解质平衡水平。在上述前提下，患者可进一步出现低氧血症的相关临床症状，甚至会合并代谢性酸中毒，从而诱发心脑血管的严重并发症。在一定程度上对患者的生命健康产生威胁[2]。由此可见，临床上针对于严重肺部感染合并肺不张的相关临床研究具有重要的现实意义和临床研究价值。

既往报道认为[3-4]：纤支镜在临床治疗严重肺部感染合并肺不张中的过程中具有一定的临床比较优势。鉴于此，为了进一步探讨纤……