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目的:探讨小儿纤维鼻咽喉镜检查的并发症及其发生率和影响因素。方法:对5000例患儿进行纤维鼻咽喉镜检查,对术中和术后24h并发症进行观察。结果:5000例行纤维鼻咽喉镜检查术的患儿中共有305例(6.10%)出现术中或术后并发症,均为一过性。0～1岁、>1～3岁、>3～7岁和>7～16岁组并发症的发生率分别为9.83%、6.14%、3.15%、1.69%,>7～16岁组并发症发生率明显低于其他各组。术中并发症以黏膜出血最常见,以0～1岁组最高,随着年龄增大而降低。术后以咳嗽或咳嗽加重最常见,吸气性呼吸困难或吸气性呼吸困难加重仅发生于0～1岁组,差异有统计学意义。结论:婴儿及喉软骨软化的患儿是并发症发生的高危因素,小儿纤维鼻咽喉镜检查术安全可靠,大多伴轻微并发症。
Objective: To investigate the complications of nasal laryngoscopy in children and its incidence and influencing factors. Methods: Fifty-five children underwent fiberopharyngeal laryngoscopy, and intraoperative and postoperative 24h complications were observed. Results: A total of 305 infants (6.10%) with intraoperative or postoperative complications were found in 5000 cases of fibrolaryngological laryngoscopy. All of them were transient. The complication rates of patients aged 0 ~ 1 years,> 1 ~ 3 years,> 3 ~ 7 years and> 7 ~ 16 years old were 9.83%, 6.14%, 3.15%, 1.69% The incidence was significantly lower than the other groups. Intraoperative complications of mucosal bleeding is the most common, 0 to 1 year-old group highest, with age and decreased. Postoperative cough or cough aggravating the most common, inspiratory dyspnea or aspirating dyspnea increased only occurred in 0 to 1 year-old group, the difference was statistically significant. Conclusion: Infants and children with laryngeal cartilage softening are risk factors for complications. Pediatric nasal laryngoscopy is safe and reliable, mostly with minor complications.