中国实用儿科杂志

中国实用儿科杂志 ›› 2022, Vol. 37 ›› Issue (2): 121-123.DOI: 10.19538/j.ek2022020610

• 专题笔谈 • 上一篇    下一篇

可弯曲支气管镜术在儿童重症肺炎诊治中的作用

  

  1. 1.昆明市儿童医院呼吸与危重症医学科，云南  昆明  650034；2.成都市妇女儿童中心医院呼吸科，四川  成都  610073
  • 出版日期:2022-02-06 发布日期:2022-02-20
  • 通讯作者: 艾涛，电子信箱：ait1108@163.com

Role of flexible bronchoscope in the diagnosis and treatment of severe pneumonia in children

  1. *Department of Pulmonary and Critical Care Medicine，Kunming Childrens Hospital，Kunming 650034，China
  • Online:2022-02-06 Published:2022-02-20

摘要： 重症肺炎在临床上有增多趋势，仅采用常规内科治疗常难以获得满意的疗效。近年来可弯曲支气管镜（FB）技术在儿科发展迅速，FB可以观察支气管的形态学特点，获取肺深部分泌物或组织标本进行病原学检测，在重症肺炎的病原、病因诊断中起重要作用。FB还可通过灌洗、钳夹术、冷冻、局部给药等手段畅通气道，对控制感染、缩短病程、预防复发等起到重要的促进作用。

关键词: 可弯曲支气管镜, 重症肺炎, 儿童

Abstract: Severe pneumonia has an increasing trend in clinic.It is often difficult to obtain satisfactory curative effect only by routine medical treatment.Flexible bronchoscope （FB） technology has developed rapidly in pediatrics in recent years.FB can show the morphological characteristics of bronchus and obtain deep lung secretions or tissue samples for pathogenic detection，which plays an important role in the pathogenic and etiological diagnosis of severe pneumonia.FB can also clear the airway by means of lavage，clamp operation，freezing，local administration and so on，which plays an important promoting role in controling infection，shortening the course of disease and preventing recurrence.

Key words: flexible bronchoscope, severe pneumonia, child