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目的分析电子支气管镜(简称气管镜)在新生儿呼吸困难诊疗中的价值及安全性。方法回顾性分析济南市儿童医院新生儿重症监护室中行气管镜检查病例122例,其中可疑畸形患者(畸形待排组)101例,肺不张行支气管肺泡灌洗治疗患者(肺不张组)21例。结果畸形待排组共发现气道发育异常52例,其中发育异常以喉软化(25/101,24.8%)、气管软化(18/101,17.8%)和声带麻痹(15/101,14.9%)多见,多发畸形25例;非器质性病变49例。肺不张组经过灌洗治疗后,21例患儿均治愈,其中有3例患儿伴有支气管软化。结论气管镜兼有检查和治疗的双重作用,安全性好,对新生儿呼吸困难的诊疗有重要意义。
Objective To analyze the value and safety of electronic bronchoscopy (bronchoscopy) in the diagnosis and treatment of dyspnea in neonates. Methods A retrospective analysis of 122 cases of bronchoscopy in neonatal intensive care unit of Jinan Children’s Hospital, including 101 patients with suspected deformity (abnormal shape pending group), patients with atelectasis bronchoalveolar lavage (atelectasis group) 21 cases. Results Malformations were found in 52 patients with abnormalities of airway development. Among them, dysplasia of the larynx was laryngeal (25/101, 24.8%), tracheal atrophy (18/101, 17.8%) and vocal cord paralysis (15/101, 14.9% More common, multiple deformities in 25 cases; non-organic lesions in 49 cases. Pulmonary atelectasis group after lavage treatment, 21 patients were cured, including 3 cases of children with bronchial softening. Conclusion Both the dual role of bronchoscopy and treatment, safety, good, neonatal diagnosis and treatment of respiratory dysfunction is of great significance.