新生儿重症监护病房中采用软性纤维支气管镜进行的介入治疗。
Flexible Fiberoptic Bronchoscopy Directed Interventions in Neonatal Intensive Care Unit.
机构信息
Department of Pediatrics, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India. Correspondence to: Dr Anil Sachdev, Department of Pediatrics, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi 110 060, India.
Department of Pediatrics, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
出版信息
Indian Pediatr. 2019 Jul 15;56(7):563-565.
OBJECTIVE
To describe the utility of flexible fiberoptic bronchoscopy for the diagnosis and management in the neonatal ICU.
METHODS
A retrospective, medical chart review was conducted in neonates who underwent flexible fiberoptic bronchoscopy over a period of 7 years. Besides demographic data and diagnostic findings, the results of medical and/or surgical interventions done by treating neonatologist were recorded.
RESULTS
88 bronchoscopies were performed in 83 neonates, of which 37 were done through endotracheal tube. Indications included persistent need for mechanical ventilation (32), persistent atelectasis (21), and stridor (27). Most common airway anomalies diagnosed included tracheobronchomalacia (20), laryngomalacia (18), subglottic stenosis (7), choanal atresia (4), laryngeal cleft (4), and tracheoesophageal fistula (4). Surgical interventions were undertaken in 17 cases (9 tracheostomies and 2 cases of slide tracheoplasty).
CONCLUSIONS
Flexible fiberoptic bronchoscopy can be beneficial for the diagnosis and management of neonates with persistent or undiagnosed respiratory problems.
目的
描述在新生儿 ICU 中使用软性纤维支气管镜进行诊断和治疗的效果。
方法
对在过去 7 年期间接受软性纤维支气管镜检查的新生儿进行回顾性病历回顾。除了人口统计学数据和诊断结果外，还记录了主治新生儿科医生进行的医疗和/或手术干预的结果。
结果
83 例新生儿共进行了 88 次支气管镜检查，其中 37 次是通过气管内管进行的。适应证包括持续需要机械通气（32 例）、持续肺不张（21 例）和喘鸣（27 例）。最常见的气道异常诊断包括气管支气管软化症（20 例）、喉软化症（18 例）、声门下狭窄（7 例）、后鼻孔闭锁（4 例）、喉裂（4 例）和气管食管瘘（4 例）。17 例患儿进行了手术干预（9 例气管切开术和 2 例滑动气管成形术）。
结论
软性纤维支气管镜可有益于持续存在或未明确的呼吸问题的新生儿的诊断和治疗。
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