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|本期目录/Table of Contents|

纤维支气管镜在先天性心脏病患儿围手术期中的临床应用

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第4期
页码:
480-483
栏目:
临床研究
出版日期:
2014-04-25

文章信息/Info

Title:
Application of fiberoptic bronchoscopy in children with congenital heart disease in perioperative management
作者:
韩 霞; 郑 萍
（武汉亚洲心脏病医院ICU，湖北 武汉 430022）
Author(s):
HAN Xia;  ZHENG Ping
(Cardiovascular Surgery ICU, Wuhan Asia Heart Hospital, Wuhan 430022, Hubei, China)
关键词:
纤维支气管镜; 先天性心脏病; 临床应用; 儿童
Keywords:
flexible fiberoptic bronchoscopy;  congenital heart disease;  clinical application;  child
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的:探讨柔韧纤维支气管镜(FFB)在先天性心脏病(CHD)患儿术前、术中、术后(即围手术期)的临床应用。方法： 总结采用FFB对2009年11月~2012年6月期间235例CHD患儿进行的诊断和治疗。结果： FFB对CHD患儿围手术期的肺不张、肺部感染和肺出血的治疗具有明显效果，还可以作为CHD并发气道结构异常病变的辅助诊断手段。所有病例均无与FFB相关的死亡、大出血、气胸和心律失常等严重并发症发生，部分患儿有一过性氧饱和度下降。结论： FFB检查是小儿气道病变诊断的金标准，能够较安全地用于CHD患儿术前、术中、术后的诊断与治疗。
Abstract:
AIM:To explore the clinical application of flexible fiberoptic bronchoscopy in children with congenital heart disease before operation, during operation and after operation. METHODS: Analysis was conducted in the application of flexible fiberoptic bronchoscopy (FFB) for the diagnosis and treatment in 235 children with congenital heart disease between November 2009 and June 2012. RESULTS: Bronchoscopy produced a good effect in the treatment for congenital heart disease children with perioperative atelectasis, pulmonary infection or pulmonary hemorrhage. Bronchoscopy could also be used as an auxiliary method for the diagnosis of lesions of congenital heart disease complicated with airway structural abnormalities. No bronchoscope-related deaths or serious complications such as hemorrhage, pneumothorax or cardiac arrhythmias occurred in the cases under study and oxygen saturation decreased only in a few cases. CONCLUSION: Bronchoscopy examination is the gold standard for the diagnosis of airway diseases in children and is a relatively safe means of diagnosis and treatment for children with congenital heart disease before, during and after operation.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2013-09-04.通讯作者：郑萍，副主任医师，主要从事先天性心脏病患儿围术期危重症处理研究 Email：747252095@qq.com 作者简介：韩霞，主治医师 Email：sunglow_hx@aliyun.com
更新日期/Last Update: 2014-05-06