【摘要】 目的:总结无痛纤维支气管镜检术在小儿肺部疾病诊断与治疗中的应用;方法:在麻醉科医生使用异丙酚基础麻醉下,应用Olympus BF3c-20纤维支气管镜对45例肺炎合并肺不张、慢性咳嗽、难治性喘息的患儿进行纤维支气管镜检查治疗。结果:45例中男性26例,女性19例,年龄在4个月至13岁。其中17例肺不张,纤维支气管镜下大多表现为支气管粘膜充血、水肿,病变支气管炎性狭窄,粘稠分泌物阻塞,灌洗后10例复张。7例难治性喘息病例中,4例镜下证实为支气管异物,3例存在气管-支气管软化和支气管开口异常。结论:无痛纤维支气管镜检术减少或避免了因患儿不合作造成气道远端损伤的风险,对复杂的病例观察更为细致,解决了患儿的不合作,增加了安全性。更多还原

【Abstract】 Objective: To summarize the application of non-pain bronchoscopy in diagnosis and treatment of pediatric pulmonary disorders.Methods: Under general anesthesia,Olympus BF3c-20 bronchoscopy was used for examination and/or treatment of 45 cases of acute pneumonia,chronic pneumonia complicated with atelectasis,chronic cough and refractory wheezing.Results: In 45 cases,26 were males and 19 were females.The age was between 4 months and 13 years.Under the bronchoscopy,the manifestations of 17 cases diagnosed as atelectasis by X-ray or CT included congestion,swollen and inflammatory narrowness and clogged by mucus secretion and 10 cases were cured after bronchial lavations.In 7 cases with refractory wheezing,4 cases were found foreign body aspiration and abnormalities at the bronchi opening were observed in the other 3 cases.Conclusion: Non-pain bronchoscopy is safe and can decrease the possible injury risk of respiratory tracts as a result of lack of cooperation of the diseased children.Non-pain bronchoscopy has important value for diagnosis and treatment of atelectasis,as well as diagnosis of foreign body.更多还原