【摘要】 目的探讨纤维支气管镜在婴儿呼吸系统疾病中的诊治价值及其安全性。方法回顾我院收治的52例婴儿行75例次的纤支镜检查及治疗,其中<1个月23例,1个月~1岁29例。结果明确诊断气道狭窄5例,食道气管瘘4例,肺出血5例;肺泡灌洗液细菌培养18例次,13例次有细菌生长,阳性率72.2%;肺不张13例,以炎症为主(88.2%),治愈率为92.3%;难治性肺炎16例,治愈率87.5%。结论纤维支气管镜在小婴儿呼吸系统疾病中具有诊断及治疗双重作用,且其安全性好,值得推广。更多还原

【Abstract】 Objective To investigate the diagnostic,therapeutic value and the safety of flexible bronchoscopy in infants with respiratory diseases.Methods Fifty-two infants in our hospital were studied,23 infants were at the age of 0～1 month,29 infants at 1～12 months,28 male and 24 female.Results Subglottic stenosis was found in 5 cases,tracheoesophageal fistula in 4 cases and pulmonary hemorrhage in 5 cases.Bacteria cultures were performed in 18 bronchoalveolar lavage samples and 13 samples(72.2%)were found Twelve positive.Atelectasis was found in 13 cases,which was mainly caused by inflammation(88.2%).patients were cured(92.3%).sixteen cases with persistent hyperinflation were treated with flexible bronchoscopy and good results were obtained in 14 cases(87.5%).Conclusion Flexible bronchoscopy plays an important role in diagnosis and treatment of respiratory diseases in infants.The operation is safe and worthwhile to be widely used.更多还原