儿童电子支气管镜术并发症及处理策略探讨

Complication of broncho-videoscope operation and therapy strategy in children.

目的总结儿童电子支气管镜术并发症发生的原因及处理经验。方法 2008年2月至2011年6月,收集苏州大学附属儿童医院进行电子支气管镜术诊治的585例患儿的临床资料,回顾分析其术中、术后并发症,观察并发症原因并总结应对措施。结果 585例患儿中,共有220例发生并发症,≤1岁组为95例,>1～3岁组为67例,>3～7岁组为51例,>7～14岁组为7例。>7～14岁组并发症最低,为10.8%,其余3组并发症发生率均约为40%。并发症中以出血发生率最高,但以喉痉挛最为严重。≤1岁组缺氧发生率最高,其余3组以出血的发生率最高。结论儿童电子支气管镜术并发症经适当处理后均能缓解。对患儿病情及身体素质的全面了解、周到的术前处理、术中对可能并发症发生的防范措施和熟练正确的操作可减少并发症的发生。

Objective To summarize the complication and therapy strategy during and after the broncho-videoscope op- eration in children. Method Observe and treat the complications during and after the broncho-videoscope operation in 585 child patients of our hospital. Result In 585 child patients , there were 220 complications totally. In 〈 1-year-old group , there were 95 complications ; in 〈 3-year-old group , there were 67 complications ; in 〈 7-years-old group, there were 51 complications;in 〈 14-year-old group , there were 7 complications .The incidence of complication in 〈 14-year-old group was the lowest, which was about 10.8%. The incidence of complication in other three groups was about 40%. The bleeding was the most common complication, but the laryngospasm was the severest complication. The incidence of hypoxemia was the highest in 〈 1-year-old grotlp, and the incidence of bleeding was the highest in other three groups. Conclusion All complications are relieved after appropriate treatment, broncho-videoscope operation in children is very safe and dependable.