电子支气管镜在新生儿呼吸困难诊疗中的应用

目的 分析电子支气管镜(简称气管镜)在新生儿呼吸困难诊疗中的价值及安全性。 方法 回顾性分析济南市儿童医院新生儿重症监护室中行气管镜检查病例122例,其中可疑畸形患者(畸形待排组)101例,肺不张行支气管肺泡灌洗治疗患者(肺不张组)21例。 结果 畸形待排组共发现气道发育异常52例,其中发育异常以喉软化(25/101,24.8%)、气管软化(18/101,17.8%)和声带麻痹(15/101,14.9%)多见,多发畸形25例;非器质性病变49例。肺不张组经过灌洗治疗后,21例患儿均治愈,其中有3例患儿伴有支气管软化。 结论 气管镜兼有检查和治疗的双重作用,安全性好,对新生儿呼吸困难的诊疗有重要意义。

Applications of electronic bronchoscope in diagnosis and treatment of dyspnea in newborns

Objective To explore the value and safety of electronic bronchoscope in diagnosis and treatment of dyspnea in newborns. Methods A retrospective study including 122 newborns with bronchoscopy was performed, 101 of which were suspicious congenital airway dysplasia(suspicious dysplasia group), and 21 curing pulmonary atelectasis(atelectasis group)by bronchoalveolar lavage. Results In suspicious dysplasia group, there were 52 newborns with airway dysplasia, including laryngomalacia(25/101, 24.8%), tracheomalacia(18/101, 17.8%)and vocal cord paralysis(15/101, 14.9%), and 25 of which had multiple airway dysplasias; as opposed to 49 newborns without airway dysplasia. In atelectasis group, 21 newborns with pulmonary atelectasis were cured by bronchoalveolar lavage, 3 of which accompanied by congenital bronchomalacia. Conclusion Bronchoscope has the dual function in newborn dyspnea examination and treatment with high safty.