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支气管肺泡灌洗在ICU机械通气患者中的应用

Kang-shen BAO,Yu-ming WEN

Sichuan Medical Journal（2009）

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Abstract
目的 探讨支气管肺泡灌洗治疗呼吸机相关性肺炎的临床价值.方法 对42例机械通气并发呼吸机相关性肺炎患者进行支气管肺泡灌洗,观察灌洗后临床疗效及灌洗后血气分析和呼吸力学指标变化.结果 所有患者灌洗后临床癌状改善,PzO2上升、PaCO2下降、气道阻力下降及肺动态顺应性改善,差异有统计学意义(P<0.05).结论 支气管肺泡灌洗对于ICU机械通气并发呼吸机相关性肺炎患者是安全、有效的,值得在临床上推广应用.
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Key words
ventilator-associated pneumonia,bronchoalveolar lavage
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