纤维支气管镜用于儿童肺部感染性疾病诊治进展  

Progress of fiberoptic bronchoscopy in diagnosis and treatment of pulmonary infectious diseases in children

作　　者：王丽君[1] 徐姗姗[1] 李华君[1] 林芊[2] 鲍一笑(综述) 黄丽素(审校)[1] WANG Lijun;XU Shanshan;LI Huajun;LIN Qian;BAO Yixiao;HUANG Lisu(Department of Pediatric Infectious Diseases,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Pediatric Respiratory Disease,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Pediatrics,Children’s National Medical Center,Shanghai Children’s Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属新华医院小儿感染科,上海200092 [2]上海交通大学医学院附属新华医院小儿呼吸科,上海200092 [3]国家儿童医学中心上海交通大学医学院附属上海儿童医学中心儿科,上海200127

出　　处：《临床儿科杂志》2020年第6期475-479,共5页Journal of Clinical Pediatrics

基　　金：上海交通大学医工交叉基金项目(No.YG2017MS75)。

摘　　要：40多年来,纤维支气管镜已广泛应用于儿童肺部疾病的诊断和治疗。随着临床研究的开展与新兴病原检测技术的提高,纤维支气管镜在儿童肺部感染性疾病诊断中的作用得到进一步认可。在肺部真菌感染、呼吸机相关肺炎、反复肺炎等特殊感染及免疫抑制等特殊人群中的应用被列入多项指南。在治疗中,摘取异物、镜下手术等得到了长足的发展,但对儿童感染相关的肺部息肉、肺不张等疾病的治疗有效性仍存在争议。重新认识纤维支气管镜在儿童肺部感染性疾病中的价值,有利于儿童肺部感染性疾病的规范诊断治疗。For more than 40 years,fiberoptic bronchoscopy has been widely used in the diagnosis and treatment of children's lung diseases.With the development of clinical research and the improvement of new pathogen detection technology,the role of fiberbronchoscope in the diagnosis of children's pulmonary infectious diseases has been further recognized.Its application has been included in a number of guidelines for diagnosis of special infections including pulmonary fungal infection,ventilator associated pneumonia,recurrent pneumonia,as well as in special population such as immunocompromised patients.Considerable progress has been made in foreign body removal and endoscopic surgery during the treatment,but the effectiveness of the treatment of infection-related lung polyps and atelectasis in children is still controversial.A new understanding of the value of fiberoptic bronchoscopy in children with pulmonary infectious diseases is conducive to the standardized diagnosis and treatment of children with pulmonary infectious diseases.

关 键 词：肺部感染性疾病 纤维支气管镜 诊断 治疗 进展 

分 类 号：R725.6[医药卫生—儿科]