纤维支气管镜在小儿难治性肺炎中的应用分析  

Application Analysis of Bronchoscopy in Children with Refractory Pneumonia

作　　者：杨国丽[1] 郑红[1] YANG Guo-li,ZHENG Hong （Chengdu Children Sepcilitu Hospital in Sichuan Province,Chengdu 610015,China）

机构地区：[1]成都儿童专科医院,四川成都610015

出　　处：《医学信息》2011年第9期2554-2555,共2页Journal of Medical Information

摘　　要：目的探讨纤维支气管镜在小儿难治性肺炎中应用及临床效果。方法选择2008年6月至2009年6月进修学习收集的经常规抗感染治疗2周后仍无效的小儿难治性肺炎50例（观察组），该组患儿均经纤维支气管镜检查后进行支气管肺泡灌洗。并将其与同期收治的30例不愿接受纤维支气管镜检查的难治性肺炎患儿（对照组）进行比较。结果观察组经纤维支气管镜检查多数为支气管内膜炎，占86．0％（43／50）。观察组显效47例，有效2例，总有效为98．0％（49／50）显著高于对照组73．3％（22／30），P〈O．05。结论纤维支气管镜有利于小儿难治性肺炎的诊断和治疗，值得临床推广。Objective fiberoptic bronchoscopy in children with refractory pneumonia in the application and clinical effects. Method in our hospital from June 2008 to June 2009 were treated by conventional antibiotics ineffective after 2 weeks of treatment in children with refractory pneumonia 50 cases （study group）, the group of children were confirmed by bronchoscopy bronchus after lavage. Them 30 patients were treated with the same reluctance to accept fiber bronchoscopy in children with refractory pneumonia （control group）. Results of the observation group by the majority of fiberoptic bronchoscopy endobronchial meningitis, accounting for 86.0% （43150）. Observation group, 47 cases markedly effective in 2 cases, total effective 98.0% （49/50） was significantly higher than 73.3% （22/30）, P 〈0.05. Conclusion benefit pediatric fiberoptic bronchoscope in the diagnosis of refractory pneumonia and treatment and is worthy of promotion.

关 键 词：纤维支气管镜 小儿 难治性肺炎 

分 类 号：R734.2[医药卫生—肿瘤;医药卫生—临床医学]