[Early bronchoscopic sputum suction in elderly patients with aspiration pneumonia-induced acute heart and lung failure].
OBJECTIVE
To observe the effect of early bronchoscopic sputum suction in elderly patients with acute heart and lung failure due to aspiration pneumonia.


METHODS
Comprehensive treatments were administered for 52 elderly patients with acute heart and lung failure resulting from aspiration pneumonia, and in 27 of the patients, bronchoscopic sputum suction was performed with the other 25 serving as the control group. The indices of the heart and lung functions (central venous pressure, left ventricular ejection fraction, arterial blood partial pressures of oxygen and carbon dioxide) were measured after the treatment and compared between the two groups.


RESULTS
Patients receiving bronchoscopic suction showed faster recovery of normal central venous pressure and left ventricular ejection fraction and more rapid increment of arterial partial pressure of oxygen and reduction of carbon dioxide partial pressure than those without the suction (P<0.01).


CONCLUSIONS
Early bronchoscopic sputum suction can be one of the effective emergency measures for rescuing acute heart and lung failure due to aspiration pneumonia.
Deng
Jin-Qing
JQ
Huaqiao Department, Guangzhou General Hospital of Guangzhou Command, Guangzhou, China.
Liu
Ze
Z
Guo
Zhen-Hui
ZH
D000368:Aged; D000369:Aged, 80 and over; D001999:Bronchoscopy; D002544:Cerebral Infarction / Q000150:complications; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000150:complications / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D013183:Sputum; D013396:Suction / Q000379:methods*