支气管镜在儿童咯血诊治中的应用  

Application of bronchoscope in diagnosis and treatment of hemoptysis in children

作　　者：周淼[1] 钟礼立[1] Zhou Miao;Zhong Lili(Children's Medical Center of Hunan Provincial People's Hospital(First Affiliated Hospital of Hunan Normal University),Changsha 410005,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)儿童医学中心,长沙410005

出　　处：《中国小儿急救医学》2024年第8期571-575,共5页Chinese Pediatric Emergency Medicine

摘　　要：咯血是儿科急危重症之一,可引起窒息、休克甚至死亡,需要及时有效的处理。支气管镜在明确咯血病因、确定出血部位、评估出血量、镜下局部止血、协助隔离血源、清理气道保证有效通气等方面起到重要的作用。但支气管镜操作同样可以诱发出血,加重缺氧甚至导致死亡,为规避风险,规范诊疗,有效发挥支气管镜的作用,本文将重点介绍支气管镜在儿童咯血诊治中应用的规范流程及干预时机。Hemoptysis is one of the acute and critical conditions in pediatrics,which can cause asphyxia,shock and even death,and needs timely and effective treatment.Bronchoscopy plays an important role in clarifying the etiology of hemoptysis,determining the bleeding site,evaluating the amount of bleeding,stopping bleeding locally under the microscope,assisting in isolating the blood source,clearing the airway and ensuring effective ventilation.However,bronchoscopy can also induce bleeding,aggravate hypoxia and even lead to death.In order to avoid risks,standardize diagnosis and treatment,and effectively play the role of bronchoscopy,this review focused on the standardized process and intervention timing of bronchoscopy in the diagnosis and treatment of hemoptysis in children.

关 键 词：支气管镜 咯血 规范流程 儿童 

分 类 号：R720.597[医药卫生—急诊医学]