纤维支气管镜在儿童慢性咳嗽诊疗中的应用
沈丹琪;张晗;尚云晓
【期刊名称】《中国小儿急救医学》 【年(卷),期】2018(025)001
【摘要】Objective To explore the application value of fiberoptic bronchoscopy in the diagnosis and treatment of chronic cough in children. Methods A total of 113 children with chronic cough were enrolled in our hospital from January 2014 to December 2016. All the cases
underwent
fiberoptic
bronchoscopy,the
endoscopic
manifestations and clinical symptoms were analyzed,and the pathogens in bronchoalveolar lavage fluid were detected. Results In the 113 children with chronic cough,64 cases (56. 6％) were boys and 49 cases (43. 4％) were girls,with 85 cases (75. 2％) under 5 years old. After fiberoptic bronchoscopy,30 cases (26. 5％) were diagnosed with bronchial foreign body,20 cases (17. 7％) were post-infection cough, 19 cases (16. 8％) with cough variant asthma,14 cases (12. 4％) with upper airway cough syndrome,14 cases ( 12. 4％) had airway abnormality, 9 cases ( 7. 9％) had protracted bacterial bronchitis, 4 cases (3. 6％) had bronchiolitis obliterans,and 3 cases (2. 7％) had bronchial tuberculosis. The most common pathogen was Streptococcus pneumonia in bronchoalveolar lavage fluid. The main adverse reactions in the operations was hypoxemia caused by airway obstruction. Conclusion
Fiberoptic bronchoscopy is a very safe and reliable operation in the diagnosis and treatment of respiratory diseases in pediatrics, and plays an important role in the diagnosis of congenital developmental airway diseases,the detection of pathogens and the treatment of bronchial foreign bodies. For the chronic cough children who had repeated visits and
poor
treatment
should
accept
fiberoptic
bronchoscopy
examination.%目的 探讨纤维支气管镜在儿童慢性咳嗽的诊断及治疗的应用价值.方法 对2014年1月至2016年12月在我院小儿呼吸内科就诊的113例慢性咳嗽患儿进行支气管镜下病因及临床特点的分析,并对其支气管肺泡灌洗液进行病原学检查.结果 113例慢性咳嗽患儿中,男64例(56.6％),女49例(43.4％),以5岁以下儿童多见[85例(75.2％)];完善纤维支气管镜后,诊断支气管异物30例(26.5％)、感染后咳嗽20例(17.7％)、咳嗽变异性哮喘19例(16.8％)、上气道咳嗽综合征14例(12.4％)、气道畸形14例(12.4％)、迁延性细菌性细支气管炎9例(7.9％)、闭塞性支气管炎4例(3.6％)、支气管结核3例(2.7％);肺泡灌洗液病原检测最常见的是肺炎链球菌;最主要的不良反应是操作中由于气道阻塞引起的低氧.结论 纤维支气管镜是非常安全可靠的儿童呼吸系统疾病诊治方法;尤其在先天气道发育性疾病的诊断、病原体的检测及支气管异物的治疗上有明显优势;对反复就诊及治疗效果不佳的慢性咳嗽患儿可以进行纤维支气管镜检查. 【总页数】5页(32-36)
【关键词】慢性咳嗽;纤维支气管镜;诊断;治疗;儿童 【作者】沈丹琪;张晗;尚云晓
【作者单位】110004 沈阳,中国医科大学附属盛京医院小儿呼吸内科;110004
沈阳,中国医科大学附属盛京医院小儿呼吸内科;110004 沈阳,中国医科大学附属盛京医院小儿呼吸内科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-pediatric-emergency-medicine_thesis/0201235674934.html 【相关文献】
1.纤维支气管镜在儿童慢性咳嗽的临床应用分析 [J], 路春敏 2.纤维支气管镜检查在儿童慢性咳嗽中的诊断价值 [J], 范伟赢
3.纤维支气管镜术在小儿慢性咳嗽诊断及治疗中的价值 [J], 卢根; 靳蓉; 苏守硕; 陈敏; 王菲; 全小丽
4.纤维支气管镜检查在儿童慢性咳嗽中的诊断价值 [J], 刘春花
5.儿童慢性咳嗽纤维支气管镜检查110例分析 [J], 杨方方; 黄英; 李渠北; 代继宏; 舒畅; 袁小平; 赵华; 符州
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纤维支气管镜在儿童慢性咳嗽诊疗中的应用
