灵活的支气管检查对于有呼吸衰竭的急症患者来说是一个安全的程序吗?
Aslıhan Gürün Kaya1, Miraç Öz1, Umut Dilegelen1
1Ankara University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey.
Acta clinica Croatica
|March 29, 2024
概括
灵活支气管镜检查 (FB) 在重症监护中非常有价值,即使在呼吸衰竭患者中也是如此. 虽然可能会出现并发症,但仔细选择患者可以进行安全的诊断和治疗程序.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 医疗程序 医疗程序
背景情况:
- 灵活支气管镜 (FB) 对于重症监护患者至关重要.
- 在重症监护室 (ICU) 的呼吸衰竭患者在手术过程中面临更高的并发症风险.
- 近期ICU护理的进步需要重新评估FB在这个人群中的安全性和有效性.
研究的目的:
- 评估灵活支气管镜检查在患有呼吸衰竭的重症患者的安全性和结果.
- 为了确定与FB期间在ICU环境中的并发症相关的风险因素.
主要方法:
- 在2014年至2020年期间,对143名在重症监护中接受FB治疗的患者进行了回顾性审查.
- 分析患者的通风状态 (补充氧气,非侵入性通风,高流量鼻腔管,侵入性机械通风) 和动脉血液气体 (PaO2/FiO2) 值.
- 多变量分析以确定与增加并发症风险相关的因素.
主要成果:
- 在FB期间或FB后立即没有发生危及生命的并发症.
- 55.6%的患者经历了可管理的并发症.
- 较高的Apache-II分数和先前存在的心血管疾病与增加的并发症风险显著相关.
结论:
- 灵活的支气管透镜可以安全地在呼吸衰竭的重症监护患者中进行.
- 适当的患者选择是尽量减少重大并发症的关键.
- 当指示被仔细考虑时,FB仍然是ICU中一个有价值的诊断和治疗工具.
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