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首页> 外文期刊>Medical principles and practice: international journal of the Kuwait University, Health Science Centre >Fiberoptic bronchoscopy in neonatal and pediatric intensive care units: a 5-year experience.
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Fiberoptic bronchoscopy in neonatal and pediatric intensive care units: a 5-year experience.

机译：新生儿和小儿重症监护室的纤维支气管镜检查：5年经验。

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OBJECTIVES: To determine the value and safety of fiberoptic bronchoscopy in neonatal and pediatric intensive care units (NICUs, PICUs). SUBJECT AND METHODS: A total of 53 fiberoptic bronchoscopy procedures on 47 patients were reviewed. Bronchoalveolar lavage (BAL) was performed in 23 patients. RESULTS: The primary diseases were pneumonia (n = 16), foreign body aspiration (n = 14), congenital airway abnormality (n = 12), trauma and/or following operations (n = 4) and Guillain-Barre syndrome (n = 1). The major bronchoscopic findings included inflammation in 26 patients, foreign body in 14, congenital airway abnormality in 12 and blood clotting in 3. Microbiology on BAL fluid was positive in 19 of 23 patients. In 23 patients with atelectasis, full and partial re-expansion was obtained in 14 and 6 patients, respectively, at 24 h after the procedures. The clinical features of 9 patients with sputum retention or blood clotting improved significantly after BAL. Positive or negative microbiologic BAL fluid results changed treatment in 11 patients, leading to marked clinical improvement in 9 patients. Moreover, 13 patients were extubated within 24 h of bronchoscopy. CONCLUSION: These data show that fiberoptic bronchoscopy is safe and effective in the diagnosis and therapy of pulmonary disorders in NICUs and PICUs.
机译：目的：确定在新生儿和小儿重症监护病房（NICU，PICU）中进行纤维支气管镜检查的价值和安全性。研究对象和方法：对47例患者进行了53次纤维支气管镜检查。在23例患者中进行了支气管肺泡灌洗（BAL）。结果：原发疾病为肺炎（n = 16），异物吸入（n = 14），先天性气道异常（n = 12），外伤和/或术后手术（n = 4）和格林-巴利综合征（n = 1）。支气管镜检查的主要结果包括炎症26例，异物14例，先天性气道异常12例，血液凝结3例。23例中19例BAL液的微生物学阳性。手术后24小时，在23例肺不张患者中，分别有14例和6例获得了完全和部分再扩张。 BAL后9例痰retention留或血液凝结患者的临床特征明显改善。阳性或阴性微生物BAL液结果改变了11例患者的治疗，导致9例患者的临床明显改善。此外，有13例患者在支气管镜检查后24小时内拔管。结论：这些数据表明，纤维支气管镜检查对于NICU和PICU的肺部疾病的诊断和治疗是安全有效的。

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