摘要
重症肺炎并发症较多且严重,病死率位居感染性疾病首位。当发生细菌或病毒感染时,致病菌群活跃,造成机体防御能力降低,而儿童抵抗力弱,是重症肺炎的高发群体。近年来软式支气管镜技术在儿科疾病中的应用逐渐广泛,该技术不仅能观察支气管形态学特征、获取呼吸道深部分泌物或组织标本进行病原学检查,还可通过引导气管插管、辅助介入治疗等手段畅通呼吸道,在提高重症肺炎诊断率、缩短患儿住院时间、降低并发症发生风险、预防复发等方面具有重要促进作用。
Objective Severe pneumonia has many and serious complications,and the fatality rate ranks first among infectious diseases.When bacterial or viral infection occurs,the pathogenic bacteria are active,resulting in a reduction in the body's defense ability.In addition,due to weak immunity,children have a high incidence of severe pneumonia.In recent years,flexible bronchoscopy technique has been widely used in pediatric diseases.This technique can not only help observe morphological characteristics of the bronchus,obtain deep respiratory secretions or tissue samples for etiological examination,but also unclog respiratory tract through guided tracheal intubation and assisted interventional therapy.It plays an important role in improving the diagnosis rate of severe pneumonia,shortening the length of hospital stay of children,reducing the risk of complications and preventing recurrence.
作者
梁坤
刘莹
王志杰
黄嘉慧
党春梅
吴小磊
熊海波
田玲
LIANG Kun;LIU Ying;WANG Zhijie;HUANG Jiahui;DANG Chunmei;WU Xiaolei;XIONG Haibo;TIAN Ling(The Second Department of Pediatrics,Tangshan Maternal and Child Health Hospital,Tangshan,Hebei 063000,China;Department of Records Room,Tangshan Maternal and Child Health Hospital,Tangshan,Hebei 063000,China;Department of RespirationⅡ,Tangshan Nanhu Hospital,Tangshan,Hebei 063000,China)
出处
《临床误诊误治》
CAS
2023年第9期148-152,共5页
Clinical Misdiagnosis & Mistherapy
基金
河北省医学科学研究课题计划项目(20221763)。
关键词
重症肺炎
儿童
软式支气管镜
诊断
活组织检查
治疗
插管法
气管内
并发症
Severe pneumonia
Child
Flexible bronchoscope
Diagnosis
Biopsy
Treatment
Intubation,intratracheal
Complications
