【作者】 李粤平； 许敏； 邓西龙； 高洪波； 施海燕；

【Author】 Li Yueping Xu Min Deng XiLong Gao Hongbo Shi Haiyan.Department of Severe he patitis,The Eighth people’s Hospital of Guangzhou,Guangzhou,510060,China

【机构】 广州市第八人民医院重症肝病科；

【摘要】 目的:探讨经纤维支气管镜支气管灌洗液培养在重型肝炎并发肺部感染病原学诊断中的应用价值。方法:86例重型肝炎并发肺部感染患者随机分为两组,A 组42例经纤维支气管镜进行支气管灌洗液培养作病原学诊断,B 组46例行痰培养作病原学诊断。根据药敏结果进行抗感染治疗。结果:A 组中42例患者中有1例不能耐受纤维支气管镜检查采样失败。两种不同采样方法检测病原菌构成比有显著性差异 (P=0.008),根据药敏结果进行抗感染治疗后肺部感染治疗疗效有显著性差异(P=0.021)。结论:经纤维支气管镜行支气管灌洗液培养致病菌适用于重型肝炎并发肺部感染患者,准确率高,有助于肺部感染致病菌的正确判断及抗生素的合理选择。更多还原

【Abstract】 Objective:To evaluate the role of fiberoptic bronchoscopy techniques in the etiologic diagnostic of severe hepatitis with pulmonary infections patients.Methods:All the 86 patients of severe hepatitis with pulmonary infections were random to two groups.Group A underwent fiberoptic bronchoscopy examination by bronchoalveolar lavage(BLAF).Group B were diagnosed by sputum culture.Results:One patient of group A could not bear fiheroptic bronchoscopy techniques.The proportion of group A and group B were significantly different(P=0.008).The effect of pulmonary infection between group A and group B were significantly difference(P=0.021).Conclusion:BALF is much better than sputum culture in detective rate of pathogen and protective ability of severe hepatitis patients,it is conduce to correct judgment and rational treatment for pathogen in pulmonary infection.更多还原