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支气管肺泡灌洗在治疗儿童意外吸入类脂性肺炎的应用
引用本文:周名秀,邓力,邓爱群. 支气管肺泡灌洗在治疗儿童意外吸入类脂性肺炎的应用[J]. 临床儿科杂志, 2009, 27(1)
作者姓名:周名秀  邓力  邓爱群
作者单位:广东省广州市儿童医院,广东广州,510120
摘    要:目的 探讨支气管肺泡灌洗治疗儿童意外吸人类脂性肺炎的疗效.方法 采用Olympus BF3c-30.BF-482纤维支气管镜及BE-270S(外镜4.9 mm)、EB-270P(外镜3.8 mm)电子支气管镜对9例意外吸人类脂性肺炎患儿进行支气管肺泡灌洗术并观察疗效及随访.结果 9例中4例吸入煤油,1例吸入汽油,1例吸入柴油,1例吸入白电油,2例吸入缝纫机油.治疗后,9例均显效,总有效率100%,术中除短暂血氧饱和度(SaO2)降至85%以外,未见其他严重不良反应.结论 支气管肺泡灌洗治疗意外吸人类脂性肺炎的疗效确切可靠,可以在临床上推广应用,但术中须加强监护.

关 键 词:类脂性肺炎  支气管肺泡灌洗  儿童

Application of bronchoalveolar lavage in treatment children with accidental inhaled lipoid pneumonia
ZHOU Ming-xiu,DENG Li,DENG Ai-quan. Application of bronchoalveolar lavage in treatment children with accidental inhaled lipoid pneumonia[J]. The Journal of Clinical Pediatrics, 2009, 27(1)
Authors:ZHOU Ming-xiu  DENG Li  DENG Ai-quan
Affiliation:Guangzhou Children's Hospital;Guangzhou 510120;Guangdong;China
Abstract:Objectives To observe the efficacy of bronchoalveolar lavage as a kind of special treatment in children with accidental inhaled lipoid pneumonia. Methods The bronchoalveolar lavage was performed and followed up in nine children with accidentally inhaled lipoid pneumonia by the Olympus BF3c-30, BF-4B2 bronchofibroscope and BE-270S (o.d.4.9 mm), EB-270 (o.d.3.8 mm) bronchovideoscope. Results Four cases inhaled kerosene, 1 case gasoline, 1 case diesel oil, 1 case white oil, and 2 cases sewing machine oil. Afte...
Keywords:lipoid pneumonia  bronchoalveolar lavage  children  
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