支气管镜对儿童重症监护病房重症肺炎的病因诊断及治疗作用

Bronchoscopy in the diagnosis and treatment of severe pneumonia in pediatric intensive care unit

重症肺炎是儿童重症监护病房常见的呼吸系统疾病,通过支气管镜可以观察气道内病变,获取标本,协助重症肺炎的病因诊断和病原诊断;可以解除气道阻塞,清除气道内坏死物;可以局部给药治疗,引导气管插管。支气管镜术运用于PICU重症肺炎患儿,能够提高诊断率,改善通、换气功能,缩短住院时间,具有临床应用及推广价值。

Severe pneumonia is a common respiratory disease in pediatric intensive care unit(PICU).Airway lesions can be observed and specimens can be obtained by bronchoscopy to help to diagnose the cause and pathogen of severe pneumonia.For severe pneumonia,bronchoscopy interventional therapy is mainly used to relieve airway obstruction,remove necrosis material in the airway,and administer locally.In addition,bronchoscopy can guide tracheal intubation in the rescue of severe pneumonia.In conclusion,bronchoscopy is used in children with severe pneumonia in PICU,which can improve the diagnosis rate,improve the function of ventilation,and shorten the hospitalization time.It is worthy of clinical promotion and application.