在儿科肺部疾病诊所的灵活支气管镜术的经验
Mehmet Mustafa Özaslan1, Gökçen Kartal Öztürk1, Meral Barlik1
1Department of Pediatric Pulmonary Diseases, Ege University Faculty of Medicine, İzmir, Türkiye.
Tuberkuloz ve toraks
|April 27, 2024
概括
灵活的支气管镜能有效地诊断儿科呼吸道疾病,重复性下呼吸道感染是主要的征兆. 这种程序是安全的和有价值的,用于识别气道问题,如粘液阻塞.
科学领域:
- 儿科肺病学 儿科肺病学
- 呼吸系统医学 呼吸系统医学
- 诊断程序 诊断程序 诊断程序
背景情况:
- 灵活的支气管镜检查是诊断和治疗儿科气道疾病的关键工具.
- 了解这种手术对儿童的指示和结果对于优化患者护理至关重要.
研究的目的:
- 分析儿童灵活支气管镜检查的指示.
- 评估儿科患者灵活支气管镜手术的发现和结果.
- 评估灵活支气管镜在儿科呼吸护理中的安全性和有效性.
主要方法:
- 在2017年1月至2022年12月期间对0-18岁的患者进行的410个灵活支气管镜手术的回顾性分析.
- 收集的数据包括患者人口统计学,适应症,并发症,支气管镜检查结果和支气管支气管洗 (BAL) 结果.
- 对程序结果和并发症的评估.
主要成果:
- 复发性下呼吸道感染 (26.8%) 是最常见的症状,其次是慢性咳 (19.1%).
- 粘液阻塞和分泌 (33.0%) 是最常见的发现;27%的检查正常.
- 在BAL液中常见的分离微生物包括非b型H. influenzae (7.8%) 和M. catarrhalis (7.3%).
- 没有报告严重并发症.
结论:
- 灵活的支气管镜是儿童呼吸系统症状的宝贵诊断和治疗工具.
- 经常出现的下呼吸道感染是主要的征兆,粘液阻塞是常见的发现.
- 该程序允许直接视觉化呼吸道,并促进样本采集,在儿科呼吸护理中非常有效.
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