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目的探讨纤维支气管镜术诊治儿童呼吸道疾病的临床应用价值。方法选择在柳州市妇幼保健院住院的815例行纤维支气管镜术的临床病例资料进行回顾性分析。结果 815例患儿,共行纤维支气管镜术872次,其中,气管、支气管炎590例,呼吸道解剖结构异常159例,支气管异物62例,肺含铁血黄素沉着症3例,肺泡蛋白沉着症1例;590例行支气管肺泡灌洗,支气管肺泡灌洗液定量培养主要病原菌支气管肺泡灌洗为肺炎克雷伯菌,阳性率41.72%。131例重症肺炎患儿经治疗后,有效98例(74.81%)。并发症发生率17.54%,均为一过性,程度轻。结论纤维支气管镜术在诊断和介入治疗儿童呼吸道疾病中具有重要意义。
Objective To investigate the clinical value of fibrobronchoscopy in the diagnosis and treatment of respiratory diseases in children. Methods The clinical data of 815 cases with bronchofibrosiography hospitalized in Liuzhou MCH were retrospectively analyzed. Results A total of 815 children underwent bronchofibroscopy at a total of 872 times. Among them, 590 were tracheobronchitis, 159 were respiratory anatomy, 62 were bronchial foreign bodies, 3 were pulmonary hemosiderosis, 2 were pulmonary alveolar proteinosis 1 case; 590 cases of bronchoalveolar lavage, bronchoalveolar lavage fluid quantitative culture of bronchial alveolar lavage Klebsiella pneumoniae, the positive rate of 41.72%. After treatment, 131 cases of severe pneumonia were effective in 98 cases (74.81%). The incidence of complications was 17.54%, all of which were transient and light. Conclusion Fiberoptic bronchoscopy is of great importance in the diagnosis and interventional treatment of respiratory diseases in children.