硬性支气管镜联合纤维支气管镜在治疗小儿肺段支气管异物的应用

目的 探讨硬性支气管镜联合纤维支气管镜在小儿肺段(及其亚段)支气管异物治疗中的应用价值。 方法 回顾性分析42例肺段(Ⅲ级及其亚段)支气管异物患者的临床资料,应用硬性支气管镜联合纤维支气管镜治疗,总结临床转归。 结果 42例患者均成功取出异物,术中无窒息、大出血及气胸等并发症,手术时间平均为(15±3)min,术后顺利复苏转普通病房,5例术后出现轻度声嘶,无呼吸困难。 结论 硬性支气管镜联合纤维支气管镜是治疗肺段(及其亚段)支气管异物有效安全的手段之一,缩短了手术时间,减少并发症发生率,改善手术预后。

Application of rigid bronchoscope combined with fiberoptic bronchoscope in the treatment of a bronchial foreign body in the infantile lung segment

Objective To investigate the application value of rigid bronchoscope combined with fiberoptic bronchoscope in the treatment of a bronchial foreign body in the infantile lung segment(and its subsegment). Methods Clinical data of 42 patients with a bronchial foreign body in the lung segment(grade III and sub-segment)were analyzed retrospectively. Results Foreign bodies in all 42 cases were successfully removed simultaneously, without any intraoperative complications such as asphyxia, bleeding, and pneumothorax. The average operation time was 15±3 min, postoperative recovery was smooth transferred to the general ward, with five cases of mild hoarseness and no dyspnea. Conclusion Rigid bronchoscope combined with a fiberoptic bronchoscope is an effective and safe alternative for the treatment of the bronchial foreign body in the pulmonary segment(and its sub-segment), which can shorten the operation time, reduce the incidence of complications, and improve the prognosis of the operation.