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目的:探讨柔韧纤维支气管镜(FFB)在先天性心脏病(CHD)患儿术前、术中、术后(即围手术期)的临床应用。方法:总结采用FFB对2009年11月~2012年6月期间235例CHD患儿进行的诊断和治疗。结果:FFB对CHD患儿围手术期的肺不张、肺部感染和肺出血的治疗具有明显效果,还可以作为CHD并发气道结构异常病变的辅助诊断手段。所有病例均无与FFB相关的死亡、大出血、气胸和心律失常等严重并发症发生,部分患儿有一过性氧饱和度下降。结论:FFB检查是小儿气道病变诊断的金标准,能够较安全地用于CHD患儿术前、术中、术后的诊断与治疗。
Objective: To investigate the clinical application of flexible fiberoptic bronchoscope (FFB) in preoperative, intraoperative and postoperative (ie perioperative) children with congenital heart disease (CHD). Methods: The FFB diagnosis and treatment of 235 CHD children during November 2009 to June 2012 were summarized. Results: FFB has obvious effect on perioperative atelectasis, pulmonary infection and pulmonary hemorrhage in children with CHD. It can also be used as an auxiliary diagnostic tool for CHD complicated with abnormal airway structure. No FFB-related deaths, major bleeding, pneumothorax, and arrhythmia were associated with serious complications in all cases, and some had transient oxygen saturation. Conclusion: The FFB test is the gold standard for the diagnosis of airway diseases in children and can be safely used in the diagnosis, treatment and treatment of children with CHD before, during and after operation.