摘要
Abstract
Objective:To analyze the intervention effect of fiberoptic bronchoscopy in patients with severe craniocerebral injury complicated with atelectasis.Methods:The data of 110 patients with severe craniocerebral injury combined with atelectasis admitted to Gugrao County People's Hospital from September 2019 to September 2023 were retrospectively analyzed,and they were divided into a control group and a study group according to different treatment methods,with 55 cases in each group.The control group was treated with routine respiratory management measures,and the study group was treated with fiberbronchoscopy on the basis of the control group.Both groups were intervened for 7 days.Blood gas index,lung function and atelectasis area were compared between the two groups.Results:After intervention,the arterial blood oxygen partial pressure of both groups was higher than before intervention,and the study group was higher than the control group,the arterial carbon dioxide partial pressure of both groups was lower than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).After intervention,forced expiratory volume,forced vital capacity and forced expiratory volume/forced vital capacity in the first second in both groups were higher than before intervention,and the study group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,the atelectasis area of both groups was lower than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The treatment of patients with severe craniocerebral injury complicated with atelectasis on the basis of conventional treatment combined with fiberoptic bronchoscopy can reduce the area of atelectasis,stabilize blood gas index and further promote the recovery of lung function,which has clinical application value.关键词
重症颅脑损伤/肺不张/纤维支气管镜/血气分析Key words
Severe craniocerebral injury/Atelectasis/Fiberoptic bronchoscopy/Blood gas analysis分类
医药卫生
