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目的:探讨电子支气管镜在小儿难治性肺炎中的临床应用。方法:共选取诊断为难治性肺炎的患儿44例,行电子支气管镜检查及肺泡灌洗术。结果:44例难治性肺炎患儿经纤维支气管镜检查均显示支气管内膜感染,其中支气管内膜糜烂坏死3例,支气管、段支气管炎性狭窄13例,段支气管闭塞2例,伴有支气管发育畸形5例,支气管异物2例,塑型性支气管炎2例。结论:电子支气管镜检查结合支气管肺泡灌洗术在儿童难治性肺炎中的临床应用疗效明显,是诊断和治疗儿童难治性肺炎的一种有效措施。
Objective: To investigate the clinical application of electronic bronchoscopy in children with refractory pneumonia. Methods: A total of 44 children diagnosed as refractory pneumonia were selected for bronchoscopy and bronchoalveolar lavage. Results: In 44 children with refractory pneumonia, endobronchial infection was found by bronchofibroscopy. Among them, 3 cases were bronchial endothelium erosion and necrosis, 13 cases were bronchial and segmental bronchial stenosis, 2 cases were bronchial obstruction with bronchus 5 cases of deformity, 2 cases of bronchial foreign body, 2 cases of plastic bronchitis. Conclusion: The clinical application of electronic bronchoscopy combined with bronchoalveolar lavage in children with refractory pneumonia has obvious curative effect, which is an effective measure to diagnose and treat refractory pneumonia in children.