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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.

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。

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