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[无菌吸痰管及纤维支气管镜下支气管肺泡灌洗在机械通气患者下呼吸道感染诊断中的价值]

[Diagnostic value of sterility sputum aspirating tube and bronchoalveolar lavage by bronchofibroscope in mechanically ventilated patients with lower respiratory tract infection].

作者信息

Yang Huan, Chen Ping, Jiang Hui, Luo Hong

机构信息

Department of Respiratory Disease, Second Xiangya Hospital, Central South University, Changsha 410013, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009 Aug;34(8):807-10.

PMID:19734593
Abstract

OBJECTIVE

To compare the diagnostic value of sterility sputum aspirating tube with bronchoalveolar lavage in mechanically ventilated patients with lower respiratory infection.

METHODS

Sixty-four mechanically ventilated patients with lower respiratory infection were selected to collect respiratory passage secretion to analyze the etiology and to evaluate the diagnostic value by using sterility tube aspirate sputum and bronchoalveolar lavage.

RESULTS

The positive rate of sterility tube aspirate sputum and bronchoalveolar lavage was 71.88% and 78.13%, respectively, with no statistical difference between the 2 groups (P>0.05). The consistency rate was 81.25% for the 2 methods.

CONCLUSION

Sterility sputum aspirating tube can not only acquire accurate pathogen, provide evidence to select sensitive antibiotics in clinical practice, but also is a simple practice, safe and economical method for patients with lower respiratory tract infection and mechanical ventilation.

摘要

目的

比较无菌吸痰管与支气管肺泡灌洗术在机械通气的下呼吸道感染患者中的诊断价值。

方法

选取64例机械通气的下呼吸道感染患者,采集呼吸道分泌物分析病因,并采用无菌吸痰管吸痰和支气管肺泡灌洗术评估诊断价值。

结果

无菌吸痰管吸痰和支气管肺泡灌洗术的阳性率分别为71.88%和78.13%,两组间差异无统计学意义(P>0.05)。两种方法的符合率为81.25%。

结论

无菌吸痰管不仅能获取准确病原体,为临床选择敏感抗生素提供依据,而且对于机械通气的下呼吸道感染患者是一种操作简便、安全且经济的方法。

相似文献

1
[Diagnostic value of sterility sputum aspirating tube and bronchoalveolar lavage by bronchofibroscope in mechanically ventilated patients with lower respiratory tract infection].[无菌吸痰管及纤维支气管镜下支气管肺泡灌洗在机械通气患者下呼吸道感染诊断中的价值]
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009 Aug;34(8):807-10.
2
[Concordance between two methods of bronchoalveolar lavage for the microbiological diagnosis of pneumonia in mechanically ventilated patients].[两种支气管肺泡灌洗方法在机械通气患者肺炎微生物学诊断中的一致性]
Biomedica. 2008 Dec;28(4):551-61.
3
Evaluation of bronchoalveolar lavage for the diagnosis of bacterial pneumonia in ventilated patients.支气管肺泡灌洗术在机械通气患者细菌性肺炎诊断中的应用评估
Ann Biol Clin (Paris). 1992;50(8):587-91.
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Diagnosis and differential diagnosis of ventilator-associated pneumonia.呼吸机相关性肺炎的诊断与鉴别诊断
Clin Chest Med. 1995 Mar;16(1):61-93.
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[Bacterial pneumonia in ventilated patients. The role of bronchoalveolar lavage in diagnosis and therapy].[机械通气患者的细菌性肺炎。支气管肺泡灌洗在诊断和治疗中的作用]
Anaesthesist. 1990 Jan;39(1):53-9.
6
Bronchoalveolar interleukin-1 beta: a marker of bacterial burden in mechanically ventilated patients with community-acquired pneumonia.支气管肺泡白细胞介素-1β:社区获得性肺炎机械通气患者细菌负荷的标志物。
Crit Care Med. 2003 Mar;31(3):812-7. doi: 10.1097/01.CCM.0000054865.47068.58.
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Accuracy of diagnostic tools for the management of nosocomial respiratory infections in mechanically ventilated patients.机械通气患者医院获得性呼吸道感染管理中诊断工具的准确性。
Eur Respir J. 1991 Sep;4(8):1010-9.
8
Plasminogen activation inhibitor concentrations in bronchoalveolar lavage fluid distinguishes ventilator-associated pneumonia from colonization in mechanically ventilated pediatric patients.纤溶酶原激活物抑制剂浓度在支气管肺泡灌洗液中区分机械通气的小儿患者呼吸机相关性肺炎与定植。
Pediatr Crit Care Med. 2011 Jan;12(1):21-7. doi: 10.1097/PCC.0b013e3181e2a352.
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[Nosocomial pneumonia in ventilated patientsø].[机械通气患者的医院获得性肺炎ø]
Schweiz Med Wochenschr. 1991 Nov 9;121(45):1658-63.
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Does bronchoalveolar lavage enhance our ability to treat ventilator-associated pneumonia in a trauma-burn intensive care unit?支气管肺泡灌洗能否提高我们在创伤-烧伤重症监护病房治疗呼吸机相关性肺炎的能力?
J Trauma. 2003 Apr;54(4):633-8; discussion 638-9. doi: 10.1097/01.TA.0000057229.70607.F2.

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Comparative study of diagnostic efficacy of sputum and bronchoalveolar lavage fluid specimens in community-acquired pneumonia children treated with fiberoptic bronchoscopy.社区获得性肺炎患儿经纤维支气管镜检查后,比较痰和支气管肺泡灌洗液标本的诊断效果。
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