支气管镜在儿童反复咳喘性疾病中的诊断价值  

Diagnostic value of bronchoscopy in children with repeatedly coughing and wheezing

作　　者：杨家武[1] 付红敏[1] 袁廷运 聂文莎 王尚昆[1] 余凯 杨洁[1] Jia-wu Yang;Hong-min Fu;Ting-yun Yuan;Wen-sha Nie;Shang-kun Wang;Kai Yu;Jie Yang(Department of Internal Medicine,Kunming Children’s Hospital,Kunming,Yunnan 650031,China)

机构地区：[1]云南省昆明市儿童医院综合内科,云南昆明650031

出　　处：《中国内镜杂志》2018年第12期108-112,共5页China Journal of Endoscopy

摘　　要：目的探讨电子支气管镜检查术在儿童反复咳喘性疾病中的应用价值。方法对该院2015年3月-2017年11月收治的297例反复咳嗽、喘息的患儿行支气管镜检查及治疗的临床资料进行综合分析。结果 297例反复咳喘的患儿支气管镜检查镜下表现最常见的是支气管内膜炎,共193例,占65.0%,是反复咳喘患儿最常见的表现;气管、支气管软化的患儿23例,占7.7%;喉软化者18例,占6.1%;气管、支气管狭窄者13例,占4.4%;异物者7例,占2.4%;结构异常者17例,占5.8%;肺含铁血黄素沉着症2例,占0.7%;肿瘤2例,占0.7%;左主支气管未发育1例,占0.3%;支气管憩室1例,占0.3%;支气管镜下未见明显异常者20例,占6.7%。结论对于儿童反复咳喘性疾病,支气管镜检查能够明确病因并且指导治疗,在临床上应用价值较高。Objective To investigate the diagnostic value of bronchoscopy in children with repeatedly coughing and wheezing.Methods 297 children with recurrent coughing and wheezing were chosed for bronchoscopy.The clinical data were analyzed retrospectively.Results Among the 297 cases,the most common findings were endobronchial inflammation(193 cases),accounting for 65%.There were 23 cases of tracheobronchomalacia accounting for 7.7%.7 children had bronchial foreign bodies,accounting for 2.4%.18 children had laryngomalacia,accounting for 6.1%.13 children had tracheobronchial stenosis,accounting for 4.4%.17 children had congenital airway malformation,accounting for 5.7%.Pulmonary hemosiderosis in 2 cases,accounting for 0.7%.Tumor in 2 cases,accounting for 0.7%.Immature the left main bronchus in 1 case,accounting for 0.3%.Bronchial diverticulum in 1 case,accounting for 0.3%.20 children were no markedly abnormal findings for the bronchoscopy,accounting for 6.7%.Conclusion The bronchoscopy is valuable to diagnosis and therapy of diseases with repeatedly coughing and wheezing in children.

关 键 词：支气管镜 反复咳喘 儿童 

分 类 号：R725.6[医药卫生—儿科]