42例喘息性患儿纤维支气管镜诊疗分析  

Diagnosed and treated of wheezing by fiberoptic bronchoscopy in children:An analysis of 42 cases

作　　者：王琪[1] 苏军[1] 郭洁[1] 

机构地区：[1]郑州市儿童医院儿童重症监护室(PICU),河南郑州450053

出　　处：《中国现代医生》2013年第3期146-147,共2页China Modern Doctor

摘　　要：目的探讨纤维支气管镜技术对喘息性疾病患儿的诊断及治疗价值。方法回顾我科2011年10月～2012年5月42例喘息性疾病患儿的临床资料。病例均由纤支镜进一步明确病因,并行支气管肺泡灌洗及注药治疗。结果镜下所见:单纯性支气管内膜炎16例(38%),支气管软化12例(28.6%),支气管异物7例(16.7%),狭窄4例(9.5%),先天性气管畸形3例(7.1%)。镜下炎性改变明显、支气管软化、狭窄患儿经纤支镜灌洗、局部注药,疗效较好。支气管异物7例成功取出。所观察到的并发症为一过性。结论喘息性疾病患儿以气管支气管炎症、软化、支气管异物为主要病因,纤支镜对喘息性患儿的病因诊断和治疗有重要作用。Objective To explore the value of fiberoptic bronchoscopy in diagnosis and treatment of wheezing cases in children. Methods Clinical data of 42 wheezing cases in children were retrospectived from our department ,Oct.2011 to May. 2012. Fiberoptic bronchoscopy was used to identify the pathogeny, perform therapy with bronchoalveolar lavage and medicine injection. Results Diagnosed by fiberoptic bronchoscopy, there were 16 cased with inflammation （38%）,12 cases with bronchomalacia （28.6%）,7 cases with bronchial foreign bodies （16.7%）,4 cases with tracheal stenosis （9.5%）, 3 cases with congenital malformation（7.1%）. Optimal effect was acquired after bronchoalveolar lavage and medicine injection in cases with obvious inflammation,bronchomalacia,tracheal stenosis. Bronchial foreign bodies of 7 cases were removed successfully. Complications observed were transient. Conclusion Bronchus inflammation,bron- chomalacia, foreign bodies were main reasons in these cases,fiberoptic bronchoscopy is of significant value in the etiologic identification and treatment of wheezing cases in children.

关 键 词：纤维支气管镜 儿童 喘息 

分 类 号：R725.6[医药卫生—儿科]