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目的:探讨纤维鼻咽喉镜检查用于诊治儿童吸入性损伤的安全性及其相关因素。方法:对36例患儿进行纤维鼻咽喉镜检查,总结术中和术后24 h内检查操作的并发症并且进行分析。结果:36例行纤维鼻咽喉镜术的患儿主要并发症有黏膜出血、低氧血症、喉水肿和喉痉挛、吞咽困难、疼痛、恶心呕吐、刺激性咳嗽,均为一过性,无心跳呼吸骤停、大出血、死亡等严重并发症。结论:使用纤维鼻咽喉镜对吸入性损伤儿童患者检查是安全可行的。
Objective: To investigate the safety of fiberoptic laryngoscopy in the diagnosis and treatment of children’s inhalation injury and its related factors. METHODS: Thirty-six children underwent fibrolaryngologic examination. The complications of the procedure were reviewed and analyzed intraoperatively and within 24 h postoperatively. Results: The main complication of fibrolaryngology in 36 children with mucosal hemorrhage, hypoxemia, laryngeal edema and laryngospasm, dysphagia, pain, nausea, vomiting and irritating cough were all transient Sudden cardiac arrest, bleeding, death and other serious complications. Conclusion: The use of fiber optic laryngoscopy in children with aspiration injury is safe and feasible.