Pérez-Frías J, Pérez-Ruiz E, Durán Hidalgo I, Milano Manso G, Martínez Valverde A
Sección de Neumología Infantil, Cátedra Hospital Materno-Infantil Carlos Haya, Málaga.
An Esp Pediatr. 1992 Jul;37(1):42-6.
Flexible bronchofiberoscopy is at present an indispensable technique in pediatric pulmonology departments. The fact that it can be used outside of the operating theater without general anesthesia or additional oxygen has greatly increased its field of pediatric applications. Thirty-three fibrobronchioscopies were performed during a period of one year on a group of children under 14 years of age. The most common indications for the procedure were atelectasis (27.3%), recurrent pneumonia (15.1%) and a possible foreign body (15.1%). The most usual sedation (82%) was the combination of Diazepan with Ketamine. Sixteen patients did not require oxygen and only one suffered a serious complication. The benefit of this technique was shown since the treatment of 22 children (67%) was changed following this procedure.
目前,可弯曲纤维支气管镜检查是儿科肺病科不可或缺的一项技术。它能够在手术室以外的地方使用,无需全身麻醉或额外吸氧,这极大地拓展了其在儿科的应用领域。在一年时间里,对一组14岁以下儿童进行了33次纤维支气管镜检查。该检查最常见的适应证为肺不张(27.3%)、复发性肺炎(15.1%)和可能存在的异物(15.1%)。最常用的镇静方法(82%)是地西泮与氯胺酮联合使用。16名患者无需吸氧,仅有1名患者出现严重并发症。该技术的益处显著,因为在此检查之后,22名儿童(67%)的治疗方案发生了改变。