纤维支气管镜诊治小儿支气管异物体会

Diagnosis and treatment of bronchial foreign body by fibrobronchoscopy

目的总结纤维支气管镜在支气管异物中的诊治价值。方法对纤维支气管镜诊治108例儿童支气管异物的临床资料进行回顾性分析。结果该组108例,呼吸道吸入异物73例,43例由纤支镜成功取出;21例经纤支镜确诊后由硬支气管镜取出;9例由纤支镜合并硬支气管镜取出;内生性异物35例,全部由纤支镜成功取出。结论纤维支气管不仅可以诊断支气管异物,结合其他工具也还可有效治疗呼吸道异物。

[Objective] To summary diagnosis and treatment of bronchial foreign body by fibrobrochoscopy. [Methods] 108 bronchial foreign body cases diagnosed and treated by fibrobrochoscopy were retrospective analyzed. [Results] Among the 108 cases, 73 had respiratory inhalation foreign bodies, among which 43 were removed by fibrobrochoscopy, 21 by hard brochoscopy, 9 by hard brochoscopy and fibrobrochoscopy. 35 endogenous foreign bodies were removed by fibrobrochoscopy successfully. [ Conclusion] Fibrobronchoscopy is an effective method not only to diagnose, but also to treat bronchial foreign body with the help of a special tool.