纤支镜介入诊疗术在0～8岁小儿感染性阻塞性肺炎及肺不张时的应用

Application of interventional therapy of flexible bronchoscope in 0-8 year-old children＇s infection-associated obstructive pneumonia and atelectasis

目的探讨纤维支气管镜（简称纤支镜）介入诊疗术在0墙岁小儿感染性阻塞性肺炎及肺不张治疗中的应用。方法将经纤支镜确诊的感染性阻塞性肺炎患儿49例作为治疗组，在常规抗感染基础上，通过纤支镜介入，对病变部位进行局部冲洗治疗和注药，记录治疗后症状、体征消失时间及胸片恢复情况，与常规治疗组作对比，观察纤支镜介入治疗的效果及安全性。结果纤支镜治疗组症状、体征消失时间及胸片恢复情况均明显优于对照组（P〈0．05）。治疗组无1例发生与镜检相关的副作用。结论纤支镜介入诊疗术在小儿感染性阻塞性肺炎及肺不张的治疗中发挥了重要的作用，临床使用安全有效，值得进一步推广。

Objective To evaluate the application of interventional therapy of flexible bronchoscope in 0-8 year-old children with infection-associated obstructive pneumonia. Methods On the base of regular anti-infection treatment, 49 patients diagnosed as infection-associated obstructive pneumonia by flexible bronchoscope were received local irrigation treatment with flexible bronchoscope, compared the duration of systems and signs and the change of chest X-ray with that of comparison group, meanwhile observed efficacy and safety of flexible bronchoscope therapy. Results The duration of systems and signs and the change of chest X-ray in experimental group were significantly superior to that of comparison group （p〈0.05）, without any side effects accounted for bronchoscope. Conclusions Intervention and irrigation therapy with flexible bronchoscope for children with infection-associated obstructive pneumonia is safe and effective, which should be used more excessively.