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目的探讨纤维支气管镜(纤支镜)在小儿喘息性疾病诊断中的作用。方法对2010年9月至2011年3月在厦门大学附属第一医院儿科住院的38例经常规诊治无明显好转的患儿行纤支镜检查,并对其结果进行回顾分析。结果镜下见气管、支气管内膜炎14例;气管、支气管软化8例,气管支气管狭窄4例,气管、主支气管异物4例,管外压迫4例,先天性气管畸形(气管开口异常、气管性支气管等)3例,支气管赘生物1例。≤6个月的婴儿,以先天性气道病变为主(62.5%),而>6个月婴儿,以气管、支气管内膜炎症为主(56.3%)。结论纤支镜术在小儿喘息性疾病的诊断中有重要作用,值得临床推广。
Objective To investigate the role of bronchoscopy (bronchoscopy) in the diagnosis of wheezing in children. Methods Thirty-eight children admitted to the First Affiliated Hospital of Xiamen University from September 2010 to March 2011 underwent routine bronchofibroscopy and their results were retrospectively analyzed. Results The trachea and bronchial endometritis were seen in 14 cases. Trachea and bronchus were softened in 8 cases. Tracheobronchial stenosis in 4 cases. Trachea and bronchus foreign body in 4 cases. External pressure in 4 cases. Congenital tracheal anomaly (tracheal anomaly, trachea Bronchus, etc.) in 3 cases, bronchial neoplasm in 1 case. Infants ≤6 months had predominantly airway disease (62.5%), while infants (> 6 months) had mainly tracheal and endobronchial inflammation (56.3%). Conclusion The bronchofibroscopy plays an important role in the diagnosis of asthmatic children and is worthy of clinical promotion.