电子支气管镜下甲硝唑灌洗吸痰治疗创伤性肺不张的临床疗效观察

摘要

目的：分析电子支气管镜下吸痰与甲硝唑灌注治疗创伤性肺不张的效果。方法：收治创伤性肺不张患者33例，给予电子支气管镜下吸痰与甲硝唑灌注治疗，对比治疗前后肺功能指标及影像学检查结果。结果：患者治疗总有效率高达96.67%。治疗后，患者的通气得到有效改善，FEV1/FVC、FEV1、VC等肺功能指标水平均优于治疗前，患者影像学检查示肺不张有所好转(P＜0.05)。结论：甲硝唑灌注与电子支气管镜吸痰治疗创伤性肺不张患者可取得较高的治疗总有效率，改善患者肺功能。%Objective:To analyze the effect of sputum aspiration and metronidazole lavage under electron microscope in the treat-ment of traumatic pulmonary atelectasis.Methods:33 patients with traumatic pulmonary atelectasis were selected.They were given sputum aspiration and metronidazole lavage under electron microscope treatment.The pulmonary function indexes and imaging re-sults were compared before and after treatment.Results:The treatment total effective rate was 96.67%.After treatment,the patient's ventilation was effectively improved;FEV1/FVC,FEV1,VC and other lung function index levels were better than those before treat-ment;the imaging examination of the patient showed than pulmonary atelectasis had improved(P<0.05).Conclusion:The metroni-dazole lavage and sputum aspiration under electron microscope in the treatment of traumatic pulmonary atelectasis can achieve a higher treatment total effective rate,and improve the patient's lung function.