纤维支气管镜在儿科呼吸系统疾病诊治中的应用

Application of Fiberoptic Bronchoscopy in the Treatment of Pediatric Respiratory System Diseases

目的研究纤维支气管镜在儿科呼吸系统疾病诊治中的作用。方法选取2012-10~2014-10间在我院儿科住院治疗的38例呼吸系统疾病患儿,对其进行纤维支气管镜检查治疗,观察病变情况、实验室检查结果、术后出院时间、术后并发症等指标。结果炎症、炎性假瘤、支气管异物吸入、纤毛不动综合征发生率分别为81.58%、2.63%、15.79%、5.26%,各类病变发生率比较,P〈0.05。肺炎链球菌、洛菲氏不动杆菌、酵母样真菌检出率分别为13.16%、7.89%、2.63%,各种菌类检出率比较,P〉0.05。患儿术中均存在血氧饱和度降低,行面罩加压给氧后均全部恢复至95%以上,无术后并发症发生。结论纤维支气管镜诊治儿科呼吸系统疾病,疗效显著。

Objective To study the fiberoptic bronchoscopy in the diagnosis and treatment of pediatric respiratory system diseases.Methods Selecting 38 children with respiratory system diseases from October,2012 to October,2014 in the hospital,doing fibre bronchoscopy treatment,observing period pathological change situation,laboratory examination results,discharge time,postoperative complications and postoperative indicatora. Results The inflammation,inflammatory pseudotumor,bronchial foreign body suction and cilia fixed incidence syndrome were 81. 58%,2. 63%,15. 79% and 5. 62%. All kinds of pathologics were compared,P〈0. 05. Streptococcus pneumoniae,los fitzpatrick acinetobacter and yeast fungus detection rates were 13. 16%,7. 89% and 2. 63% respectively. All kinds of mold detection rates were compared,P〉0. 05. Oxygen saturation and pressure mask after oxygen were fully recovered to more than 95%,with no postoperative complications. Conclusion Curative effect of the diagnosis and treatment of fiberoptic bronchoscopy pediatric respiratory system disease is distinct.