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目的:探讨纤维支气管镜在新生儿尤其是早产儿肺不张诊治中的应用价值。方法:采用0limpus BFXP40型纤维支气管镜(外径2.8mm,内径1.2mm)对11例早产儿感染性肺不张进行纤维支气管镜检查并行支气管灌洗治疗,术后进行灌洗液的病原学检查。结果:10例肺不张患儿顺利完成纤维支气管镜检查和治疗。肺不张患儿术中表现支气管内膜炎.气管支气管分泌物多或黏液栓阻塞,支气管肺泡灌洗液培养阳性4例,根据培养结果调整治疗后1周复查胸片均恢复正常。本组的并发症主要为一过性低氧血症,灌洗后低热及声音嘶哑。结论:纤维支气管镜检查术在新生儿尤其是早产儿肺不张诊断和治疗中有很大的价值.是一项安全而重要的检查技术,值得推广。
Objective: To investigate the value of fiberoptic bronchoscopy in the diagnosis and treatment of atelectasis in neonates, especially in premature infants. Methods: Infectious atelectasis of 11 cases of premature infants were treated by bronchofibroscopy and bronchoalveolar lavage with Olimpus BFXP40 fiberoptic bronchoscope (OD 2.8mm, ID 1.2mm), and etiological examination of lavage fluid . Results: 10 cases of atelectasis in children successfully completed the bronchoscopy and treatment. Atelectasis in children with intraoperative performance of bronchial endocarditis. Tracheal bronchial secretions or mucus plug obstruction, bronchoalveolar lavage fluid culture positive in 4 cases, according to the results of 1 week after treatment to adjust the review of the chest X-ray returned to normal. The main complication of this group of transient hypoxemia, low fever and hoarseness after lavage. Conclusion: Fiberoptic bronchoscopy has great value in the diagnosis and treatment of atelectasis in neonates, especially in premature infants, and it is a safe and important examination technique worthy of promotion.