Wong K S, Lan R S, Lin T Y
Division of Pediatric Pulmonology, Chang Gung Children's Hospital, Taoyuan, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1995 Jul-Aug;36(4):257-60.
One hundred and forty-one flexible fiberoptic bronchoscopies were performed in 124 pediatric patients in Chang Gung Children's Hospital between October 1991 and September 1994. Eleven of these patients were younger than 1 month old; 52 patients were younger than 1 year old; 94 patients were younger than 6 years old. The bronchoscope used was Olympus BF 3C20; with a 3.5 mm outer diameter, it also has a build-in 1.2 mm working channel. Most of the procedures were done in the pediatric intensive care unit. Oral chloral hydrate and parenteral benadryl were given as pre-sedation medication 30 minutes before the procedures; for most cases intravenous midazolam and meperidine hydrochloride were given immediately before the examination. The most common diagnoses were laryngomalacia, airway foreign bodies, subglottic stenosis or tracheal stenosis. Six episodes of transient hypoxemia and one brief episode of apnea were encountered. It was concluded that flexible fiberoptic bronchoscopy, very useful and safe in pediatric patients, has been underused in Taiwan.
1991年10月至1994年9月期间，长庚儿童医院对124名儿科患者进行了141次可弯曲纤维支气管镜检查。其中11名患者年龄小于1个月；52名患者年龄小于1岁；94名患者年龄小于6岁。使用的支气管镜为奥林巴斯BF 3C20；外径3.5毫米，内置1.2毫米工作通道。大多数操作在儿科重症监护病房进行。操作前30分钟给予口服水合氯醛和胃肠外苯海拉明作为预镇静药物；大多数情况下，在检查前立即给予静脉注射咪达唑仑和盐酸哌替啶。最常见的诊断为喉软化、气道异物、声门下狭窄或气管狭窄。出现了6次短暂性低氧血症发作和1次短暂性呼吸暂停发作。得出的结论是，可弯曲纤维支气管镜检查在儿科患者中非常有用且安全，但在台湾地区尚未得到充分利用。
