206例儿童纤维支气管镜检查治疗的临床分析

Clinical analysis of diagnosis and treatment with fiberoptic bronchoscopy in 206 cases of children

目的评价纤维支气管镜(纤支镜)对儿童呼吸道疾病的诊断及治疗作用。方法对206例行纤支镜检查患儿的临床资料进行分析,将胸片提示肺部炎症患儿同意行纤维支气管镜检查者随机选择50例为实验组,不同意行纤维支气管镜检查者随机选择50例为对照组。结果镜检患儿72.8%为气管、支气管炎症,肺泡灌洗液培养阳性率为22.9%,主要病原菌为肺炎链球菌,85.7%的支气管异物患儿首次镜检即探取成功,经纤支镜治疗可缩短疗程、增加肺不张复张率,与对照组比较差异均有显著性(P<0.05)。并发症发生率为28.6%,但均为一过性,程度较轻。结论纤维支气管镜检查是儿童呼吸道疾病诊治的一条重要而安全的途径。

【Objective】To assess the role of fiber bronchoscopy （FB） in diagnosis and treatment of children’s respiratory diseases. 【Methods】206 cases of children who were checked over with FB were studied and analyzed, 50 cases of which were chosen randomly into the control group. 50 cases who refused FB but X-ray showed pneumonia were chosen randomly into the study group.【Results】72.8% of them were respitatory inflammation, 22.9% of the BALF culture were positive, Streptococcus pneumoniae was the main pathogeny, 85.7% bronchial foreign body were taken out for the first time through FB. By FB the couse of treatment can be shorten and more atelectasis be cured, the differences were significant （P 0.05）. The complication was mild and short, the rate was 28.6%.【Conclusion】FB is an important and safe diagnostic and interventional technique in neonate’s respiratory tract diseases.