软式支气管镜对儿童重症监护病房脱机困难的病因诊断及治疗

Etiological diagnosis and treatment of bronchoscopy in pediatric intensive care unit

儿童重症监护病房持续有创呼吸机辅助通气患儿多因呼吸系统疾病、心血管系统疾病、神经系统疾病、营养状态、遗传代谢、膈肌异常运动等因素导致脱机困难。通过软式支气管镜的诊断,明确病因,指导及通过介入治疗,有效改善通换气功能,提高了脱机困难的治愈率。本文探讨软式支气管镜技术对PICU脱机困难患儿的病因诊断及治疗。

Children in the pediatric intensive care unit who continue to have ventilator-assisted breathing are often difficult to get off-line due to respiratory system disease,cardiovascular system disease,nervous system disease,nutritional status,genetic metabolism,abnormal diaphragm movement and other factors.Through the diagnosis and treatment of flexible bronchoscope,the etiology could be identified,the ventilation function is effectively improved,and the cure rate of weaning difficulty increases.This paper discussed the etiological diagnosis and treatment of flexible bronchoscopy in children with difficulty in weaning from pediatric intensive care unit.