纤维支气管镜在小儿重症肺炎中的应用研究进展

The application of fiber bronchoscope in children with severe pneumonia：a review

纤维支气管镜（纤支镜）在儿科的应用已有数十年，已成为小儿呼吸道疾病重要的诊疗工具。随着纤支镜设备本身的改进及操作技术的进步，其在儿科临床应用范围不断扩大，特别是在危重患儿的应用方面。重症肺炎是儿科常见危重症，患儿起病急，病情重，病死率高，目前常规抗生素治疗效果不是特别理想。纤支镜由于具有检查和治疗双重职能，使得其在小儿重症肺炎中的应用越来越广泛。纤支镜能提高重症肺炎患儿治疗的效果，缩短病程，改善患儿的预后，降低病死率。

Fiber bronchoscopy has been used in pediatric for decades,and has became the important diagnostic tools in pediatric respiratory diseases.with the improvement of fiber bronchoscope equipment and the advancement of operation technology,fiber bronchoscope has been expanded unceasingly in pediatric, especially in the critically ill children.As a common critical disease in pediatric,severe pneumonia is urgent, serious and high rate of mortality.As the effect of conventional antibiotic treatment is not ideal in current, while fiber bronchoscopy with the dual function of examination and treatment makes it use more and more widely in children with severe pneumonia.Fiber bronchoscopy can improve the effect of treatment in children with severe pneumonia,short the course of the disease,improve the prognosis of children,reduce the rate of mortality.