[1]张碧清,袁树贞,范楚平. 早期纤支镜支气管肺泡灌洗术在肺不张幼龄儿童中的应用[J].中国医学物理学杂志,2019,36(9):1087-1090.[doi:DOI:10.3969/j.issn.1005-202X.2019.09.018]
　ZHANG Biqing,YUAN Shuzhen,FAN Chuping. Application of early bronchoalveolar lavage by bronchofibroscope in young children with atelectasis[J].Chinese Journal of Medical Physics,2019,36(9):1087-1090.[doi:DOI:10.3969/j.issn.1005-202X.2019.09.018]
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 早期纤支镜支气管肺泡灌洗术在肺不张幼龄儿童中的应用()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第9期
页码:
1087-1090
栏目:
医学生物物理
出版日期:
2019-09-25

文章信息/Info

Title:
 Application of early bronchoalveolar lavage by bronchofibroscope in young children with atelectasis
文章编号:
1005-202X（2019）09-1087-04
作者:
 张碧清; 袁树贞; 范楚平
 郴州市第一人民医院儿童呼吸一区， 湖南 郴州 423000
Author(s):
 ZHANG Biqing;  YUAN Shuzhen;  FAN Chuping
 Department of Children Respiratory, Chenzhou No.1 People’s Hospital, Chenzhou 423000, China
关键词:
 ; 幼龄儿童; 肺不张; 纤维支气管; 支气管肺泡灌洗术
Keywords:
 ; Keywords: young children;  atelectasis;  bronchofibroscope;  bronchoalveolar lavage
分类号:
R725.6
DOI:
DOI:10.3969/j.issn.1005-202X.2019.09.018
文献标志码:
A
摘要:
 目的：探讨早期纤支镜支气管肺泡灌洗术在肺不张幼龄儿童中的应用价值。方法：回顾性分析90例肺不张幼龄儿童患者临床资料，依照治疗方式，将行常规药物治疗患儿44例纳入A组，将在常规治疗基础上应用纤支镜支气管肺泡灌洗术患儿46例纳入B组，比较两组患儿临床疗效、血气分析指标、血液动力学水平及不良反应发生情况。结果：B组治疗有效率高于A组（91.30% vs 75.00%, P<0.05）；B组患儿治疗后动脉血氧分压、血氧饱和度水平高于A组，二氧化碳分压水平低于A组，差异均有统计学意义（P<0.05）；两组患儿治疗后血液动力学指标比较差异无统计学意义（P>0.05）；两组患儿不良反应发生率比较差异无统计学意义（P>0.05）。结论：早期纤支镜支气管肺泡灌洗术可改善肺不张幼龄儿童血气指标，恢复患儿肺部张力，安全性较高。
Abstract:
 Abstract: Objective To investigate the application value of early bronchoalveolar lavage (BAL) by bronchofibroscope in young children with atelectasis. Methods A retrospective analysis was performed on the clinical data of 90 young children with atelectasis. According to treatment approaches, 44 pediatric patients undergoing routine drug therapy were included in group A, while 46 pediatric patients receiving routine drug therapy combined with BAL by bronchofibroscope were included in group B. The therapeutic effect, index of blood gas analysis, hemodynamic level and incidence of adverse reactions were compared between two groups. Results The response rate in group B was higher than that in group A (91.30% vs 75.00%, P<0.05). After treatment, the arterial partial pressure of oxygen and blood oxygen saturation in group B were higher than those in group A, while the partial pressure of carbon dioxide was lower than that in group A, with statistical differences (P<0.05). There was no significant difference in post-treatment hemodynamic indexes and incidence of adverse reactions between two groups (P>0.05). Conclusion Early BAL by bronchofibroscope can improve blood gas indexes of young children with atelectasis and restore their lung tension, with high safety.

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备注/Memo

备注/Memo:
 【收稿日期】2019-03-16
【作者简介】张碧清，副主任医师，研究方向：儿童内科呼吸疾病，E-mail: 86934386@qq.com
更新日期/Last Update: 2019-09-24