189例儿童局限性肺不张病因分析及治疗转归

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Abstract Objective To explore the value of flexible fiberoptic bronchoscopy in the diagnosis and treatment of pulmonary atelectasis in children.Methods A total of 226 hospitalized children with localized atelectasis confirmed by X-ray or pulmonary CT were divided into bronchoscopy group (n=189) and control group (n=37). The results of fiberoptic bronchoscopy group were compared with control group.Results In bronchoscopy group(189 patients), flexible fiberoptic bronchoscopy was performed 222 times. Bronchial mucosal inflammatory changes were found in all the 189 cases, mucous sputum formation in 73 cases, tracheal or bronchial softening in 21 cases, bronchial stenosis or abnormal opening in 11 cases, tracheobronchial foreign body in 9 cases, bronchial neoplasia in 3 cases, tracheal bronchus in 2 cases, and anterior tracheal hemangioma in 1 case . During their stay in hospital, all the cases underwent lavages in the bronchoscopy group, which showed that the lesion had completely expanded in 146 cases, partially expanded in 27 cases, and remained unchanged in 7 cases,compared with 17 cases, 14 cases and 6 cases respectively in control group. There was significant difference between the two groups. The average length of hospital stay was(12.1?.2)days in bronchoscopy group and(16.2?.4)days in control group, respectively. There was significant difference between the two groups. There was not any respiratory arrest or hemodynamic changes in bronchoscopy groups.Conclusion Fibrobronchoscopy can help identify the cause of atelectasis, promote the reexpansion of the lesion, shorten the average length of hospital stay, and ensure safety.

Key words： Children atelectasis flexible fiberoptic bronchoscopy

Received: 21 October 2016 Published: 05 January 2017

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http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/EN/ OR http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/EN/Y2016/V34/I6/899

[1]	单玉霞,黄燕,崔振泽.儿童肺不张的病因研究进展[J].医学综述,2015(3):469.周浩泉,何金根,吕勇,等.纤维支气管镜在婴幼儿肺不张诊治中的应用价值[J].临床儿科杂志,2012,30(9):866.
[2]	丁玲,吴蓉洲.143例儿童肺不张病因构成分析及支气管镜的临床价值探讨[J].温州医科大学学报,2013,43(5):332.
[3]	周浩泉,何金根,吕勇,等.纤维支气管镜在婴幼儿肺不张诊治中的应用价值[J].临床儿科杂志,2012,30(9):866.
[4]	靳蓉,朱莉,苏守硕,等.纤维支气管镜在儿童肺不张病因诊断及治疗中的应用价值[J].临床儿科杂志,2008,26(8):721.
[5]	唐伟淘.纤维支气管镜肺泡灌洗术治疗小儿感染性肺不张临床观察[J].当代医学,2016,22(4):67.
[6]	王勇,王惠丽,贺美兰.纤维支气管镜在儿童肺不张治疗中的应用[J].临床医学,2009,29(5):84.
[7]	汪伟.纤维支气管镜在儿童感染性肺不张中的应用体会[J].中外医学研究,2016,14(27):117.
[8]	田利远,王亚坤,李金英,等.纤维支气管镜在儿童肺不张中的应用效果[J].河北医药,2013(17):2648.
[9]	陈琼华,郑敬阳,李联侨,等.局麻下纤支镜诊治儿童肺不张的临床分析[J].中国医学工程, 2014(11):123.
[10]	刘玉慧,陈文霞,代运磊,等.纤维支气管镜在小儿支原体肺炎伴肺不张诊断和治疗中的临床价值[J].中国当代医药,2015,22(14):38.
[11]	MASLOVE D M,CHEN B T, WANG H,et al. The diagnosis and management of pleural effusion in the ICU[J].J Intensive Care Med,2013,28(1):24.
[12]	顾浩翔,陆敏,车大钿,等.纤维支气管镜和肺泡灌洗术在肺不张诊断与治疗中的价值[J].实用儿科临床杂志,2012,27(4):262.
[13]	蔡冬春.纤维支气管镜在诊治儿童难治性肺炎肺不张中的作用和安全性分析[J].临床军医杂志,2015,43(3):279.