支气管镜检查术在支气管哮喘疾病中的诊治作用分析

The Application of Bronchoscopy to the Diagnosis and Therapy of Diseases with Children Asthma

目的探讨支气管镜检查术在儿童支气管哮喘疾病诊治中的作用。方法对开封市妇幼保健院2007年1月至2008年12月诊治的78例临床诊断为"支气管哮喘"患儿给予行支气管镜检查及治疗的临床资料进行综合分析。结果 78例临床诊断为"支气管哮喘"患儿在支气管镜下最常见的病因为炎症:其中支气管炎、支气管肺炎59例(75.6%),伴痰栓、痰液阻塞6例(7.7%),炎性狭窄5例(6.4%)。肺不张1例因炎症感染形成的黏液栓阻塞引起,通过支气管镜灌洗、嵌夹治疗后多数患儿炎症吸收,肺不张消失。镜检第二位病因为先天气道畸形7例(9.0%)。镜检第三位病因为气道异物6例(7.7%)。结论支气管镜检查术可以为临床支气管哮喘患儿诊治提供很大帮助。

Objectives To investigate the diagnostic and therapeutic value of bronchoscopy inchildren asthma. Methods A total of 78 children asthma in The Maternal and Children Hospital of Kaifeng during the period from January 2007 to December 2008 were chosen for bronchoscopy. The clinical data were analyzed retrospectively. Results Amony 78 cases,the most common fi ndings were bronchitis and pneumonias 59 cases（75.6%）,in？ ammatory narrowness and sputum blocking 11 cases （14.1%）,indicating that the leading cause was the infecation. Atelectasis （1 case）,Blocking in the airway by infection was the primary cause. After syringed and clamped treatment,the atelectasis recovered. Followed by congenital tracheobronchial anomalies,which occurred in 7 cases,accounting for 9.0% of all cases. The third cause was the foreign body in the airway （6 cases）,accounting for 7.7%.Conclusion The bronchoscopy can be of signifi cant help for diagnosis and therapy of diseases with children asthma.