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《Chinese Journal of Clinical Medicine》 2006-01
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The Clinical Study on Bronchofibroscope Lavage Treatment to Mechanical Ventilation Related Pulmonary Infection

ZHANG Yongli WAN Xianyao. Central Intensive Care Unite,The First Affiliated Hospital of Dalian Medical University,Dalian 116011  
Objective: To observe the therapeutic effect of bronchofibroscope lavage for serious pulmonary infection caused by mechanical ventilatioa Methods: All of 28 severe patients of pulmonary infection were performing mechanical ventilation because of I-type orⅡ-type respiratory failure They all accepted the treatment of bronchofibroscope lavage under the monitoring of ECG, blood pressure and blood oxygen saturation.Mean while, the antibiotics and apophlegmatic drug were used too. The index we used to evaluate the therapeutic effect include the change of body temperature, quantity and quality of sputum, bellows auscultation, breath sound changing of pulmonary atelectasis, saturation of blood oxygen, blood gas analysis and chest xray. Results: The staying days in ICU of all 28 cases were 2-63d, the mean was 24. 5d, 1-6 bronchofibroscope lavage treatments were performed, the mean was 2. 4. Compared to prior treatment ,the SaO2 (93±5% vs 86 ±4%, P0. 05)and PaO2 (87±8 mmHg vs 68±10 mmHg,P0. 05)increased , PaCO2(37±7 mmHg vs 48±9 mmHg,P0. 05)decreased significantly. After bronchofibroscope lavage treatment, 25 patients with pulmonary infection were controlled, all 4 cases with pulmonary atelectasis were completely recovered. But the body temperature, quantity and quality of sputum, bellows auscultation and chest X-ray of 3 patients did not improve obviously because of their primary disease aggravation. No complications such as aeropleura and respiratory tract bleeding occurred. Conclusion: Bronchofibroscope lavage treatment can be an effective way to control severe pulmonary infection caused by mechanical ventilation in intensive care unite
【CateGory Index】: R563.1
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【References】
Chinese Journal Full-text Database 3 Hits
1 CHEN Han-min,LIAO Sheng-fang,YU Jin-gang(The 180th Hospital of People's Liberation Army,Quanzhou 362000,China);Clinical interventions on pulmonary infection in patients with severe craniocerebral injury after tracheotomy[J];Chinese Journal of Infection Control;2009-02
2 XIAO Yang-e,ZHENG Yan-lie,LIU Chun-long,GUO Jun (157th Hospital of PLA,Guangzhou,Guangdong 510510,P.R.China);Application of hydrogen dioxide solution in bronchial pulmonary infection[J];China Journal of Endoscopy;2010-02
3 MA Renlong,LI hong(Wujin Hospital of Traditional Chinese Medicine,Changzhou,Jiangsu,213161);Analysis of 34 critically ill patients with pulmonary infection treated with bronchofiberscope lavage[J];Journal of Clinical Medicine in Practice;2013-13
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 Xu Zhong , Huang Dongjian , Tang Xinxing ,et al the Secondary People' s Hospital of Guangzhou , Guangzhou 510150;Companson of two weaning mechanical ventilation modes in COPD patients[J];Anhui Medical Journal;2005-05
2 WANG Chunna,GE Gaizhen(Department of respiratory medicine,the First Affiliated Hospital of Baotou Medical Collage,Baotou 014010,China);Study of Effects of 2% NaHCO_3 on Air Tube Humidification[J];Journal of Baotou Medical College;2011-01
3 JIN Ke-ying,CHEN Gui-hua,WANG Dao-xin (THE Second Hospital of Chongqing Medical University,Chongqing 400010,China);The effect of tracheal tuff on tracheal mucosal morphology and structure in rabbits with Bcute lung injury[J];Chongqing Medicine;2009-13
4 Jiang Ying. Central Hospital of Shaoyang, Shaoyang 422000,Hunan,P.R.China;Effect Comparison of Trachea Interval Moisture and Trachea Continuous Moisture by Infusion Tube[J];;2004-04
5 XIAO Cai-Lian,PENG Jian-fang,LI Wei-bing,YE Cai-xia The First People's Hospital of Zhaoqing,Zhaoqing,Guangdong,526021;A Comparative Study of Two Different Methods of Sputum Suction[J];Today Nurse;2008-03
6 ;气管切开患者机械通气时两种吸痰方法不良反应的观察对比[J];Contemporary Medicine;2010-36
7 WANG Dao xin, CHENG Gui hua, DU Xian zhi (Department of Respiratory Diseases, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing 400010, China);Application of MRV in respirator weaning in patients with type Ⅱ respiratory failure[J];Acta Academiae Medicinae Militaris Tertiae;2004-05
8 CHEN Zhonghua,YU Dinghong,LIU Mansheng.Department of Respiratory Medicine,the First People's Municipal Hospital,Yueyang 414000,Hunan.;Evaluation of non-invasive ventilation in acute respiratory failure with chronic obstructive pulmonary disease[J];Clinical Medicine;2008-02
9 TU Xiongwen.Department of Medicine,Gejishan Hospital Affiliated to Wannan Medical College,Wuhu 241000,Anhui;Observation on the effect of type Ⅱ respiratory failure from COPD treated with BiPAP breathing machine[J];Clinical Medicine;2008-03
10 WANG Sirong,CHEN Yusheng,HUANG Zhao,LIN Caiyuan.Intensive Care Center,Guangzhou First People's Hospital,Guangzhou 510180,Guangdong;Use of the rapid/shallow breathing index as an indicator of COPD patients undergoing weaning from mechanical ventilation[J];Clinical Medicine;2008-06
China Proceedings of conference Full-text Database 2 Hits
1 ;The effects of bronchoscopy and therapeutic broncho-lavage with different methods on respiratory mechanics in mechanical ventilated patients with respiratory failure[A];[C];2004
2 ;导致呼吸机相关性肺炎的因素及护理干预[A];[C];2012
【Co-references】
Chinese Journal Full-text Database 10 Hits
1 HE Qihua, KUANG Jingxia, ZHONG Guiling, et al;A Clinical Control Study of Sputum-expelling Effect of the Rock Sputum Ejection Machine in Comatose Patients Undergoing Tracheotomy[J];Journal of Nursing Science;2006-12
2 ZHOU ChuanyiDepartment of Respirology, Yicheng Hospital, Anqing 246001, China;The application of fiberbronchoscope on remedy of atelectasis after operation[J];Journal of Clinical Pulmonary Medicine;2005-05
3 LIANG Jie-zhu Intensive care unit of Guangzhou fanyu central hospital 511400;Application of CRP to diagnose transmissibility pneumonia[J];Journal of Clinical Pulmonary Medicine;2011-07
4 Guying,Luhuiyu,Yangyutian,Wukai,Jiangaigui,Gaoxiaoyan(Department of Respiratory Medicine,Taizhou People's Hospital,Jiangsu 225300,China);The Clinical Study of Bronchoalveolar Lavage by Fibrobronchoscopy in Patients with Severe Pulmonary Infection[J];Journal of Clinical Pulmonary Medicine;2011-10
5 HE An-nan,CHEN Xing-wu Department of Respiratory Diseases,Wuhu No.2 People′s Hospital,Wuhu 241001,China;C-reactive protein,clinical indicators and prognosis of severe pneumonia in adults[J];Acta Academiae Medicinae Wannan;2011-04
6 ZHANG Zhong- de, ZHANG Wen- qing, LI Jian- hua(Department Respiratorys Diseases, the Second Affiliated Hospital, GuangdongUniversity of TCM, Guangzhou, Guangdong 510120, P.R.China);Curative effects of amikacin given after drawing spittoon by bronchofiberscopy and bronchoalveolar lavage in treating patients complicating pulmonary infection after thoracic operations[J];China Journal of Endoscopy;2005-07
7 CHEN Gong-ping, LIN Qi-chang, JIN Yong-xu, ZHENG Zhi-ping, ZHANG Xin (Respiratory Department, the First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350005, P.R.China);Clinical value of fiberbrochoscope in treating acute respiratory failure[J];China Journal of Endoscopy;2006-06
8 LIANG Yu1, LI Jian2, SU Hua-feng1, HUANG Zhi-qiang1, SU Qing-hua2 (1.Department of Medicine; 2.Department of Thoracic surgery, Huangjiang Hospital of Dongguan, Dongguan, Guangdong 523750, P.R.China);Effects of lung lavage by bronchoscopy in treatment of early pulmonary trauma[J];China Journal of Endoscopy;2008-01
9 LI Ji-dong, XIAO Yong-jiu, ZHU Yun-kui, XUE Qing-liang, WANG Shu, WANG Xiao-qin, LIU Wei (Department of Respiratory Diseases, Lanzhou General Hospital of Lanzhou Military Area Command, Lanzhou, Gansu 730050, P.R.China);Clinical application of nasal trachea cannula guided by bronchofibroscope to chronic obstructive pulmonary disease patients with respiratory failure[J];China Journal of Endoscopy;2008-02
10 ZHOU Guangrong (MiDi Workers Hospital of Panzhihua Iron And Steel Co.,Ltd., Panzhihua 617015, China );Clinical application of endotracheal intubation under guidance of fibrebronchoscopy in ventilation[J];China Modern Medicine;2009-11
【Secondary References】
Chinese Journal Full-text Database 5 Hits
1 HE Guo-hou,FU Xiang-yun,WANG Hui-fang,XIAO De-cai,XIE Duo-shuang,LAI Rui-ping(Taihe Hospital,Hubei University of Medicine,Shiyan 442000,China);Logistic regression analysis on risk factors of tracheotomy-associated pulmonary infection[J];Chinese Journal of Infection Control;2012-03
2 LONG Yong,JIANG Yong-ming,CENG Chun,et al.(Department of Neurosurgery,The Centeral Hospital Suining City,Sichuan 629000,China);Clinical Application of Synthetic Physiotherapy in the Patients with Severe Pulmonary Infection Secondary to HICH[J];Journal of Aerospace Medicine;2012-02
3 Yang Qin;Comparison of two subglottic suctioning methods applied to mechanically ventilated patients with severe craniocerebral injuries[J];Journal of Nursing Science;2012-22
4 Song Fujie,Wang Zhou,Liu Xiangyan,et al.Department of Thoracic Surgery,China Meitan General Hospital,Beijing 100028,China;THE PREVENTIVE VALUE TO POSTTHORACOTOMY PULMONARY INFECTION BY EARLY APPLYING FIBEROPTIC BRONCHOSCOPE[J];Chinese Journal of Coal Industry Medicine;2012-07
5 XIA Li,DUAN Han-zhong,LIN Yong-dong,LU Zhi-hui(Zhejiang Xiaoshan Hospital,Xiaoshan,Zhejiang 311201,China);Pathogens causing lower respiratory tract infections after tracheotomy and prevention countermeasures[J];Chinese Journal of Nosocomiology;2012-20
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