硬支气管镜检内源性异物27例分析

Analysis of Endogenous Foreign Body Taking outwith Steel Bronchoscope-27 Cases Report

目的 通过硬支气管镜检对 2 7例内源性异物的分析 ,探讨其发生原因及诊治方法。方法 选 2 7例患儿 ,无外源性异物史 ,在全麻下经口插入硬支气管镜 ,发现内源性异物后 ,痰栓用吸引器吸尽肉芽组织及脱落的伪膜囊取干净再用盐水肾上腺素 +生理盐水反复冲洗、止血。结果 经治疗 ,2 6例术后 7～ 14d痊愈 ,1例转内科治疗肺结核。结论 对于内源性异物 ,如出现非一般性呼吸道症状 ,应积极行硬支气管镜检查。

Objective To analyze taking out the endogenous foreign body with steel branchoscope and discuss its reason, diagnosis and treatment. Methods 27 children patient without exogenous foreign body were detected with steel branchoscope under general anesthesia. When the endogenous foreign body was founded, the suction could move out the granulation pseudomembrane then irrigate with saline repeatly. Results 26 cases were recovered with 7～14 days and 1 case was lung TB. Conclusion The steel branchoscope should be detected when the endogenous body is suspected as respiratory tract symptoms.