实用中西医结合临床2025，Vol.25Issue(4)：1-4,4.DOI:10.13638/j.issn.1671-4040.2025.04.001
硬性支气管镜联合纤维支气管镜肺泡灌洗术治疗儿童气管异物合并重症肺炎的疗效分析
Effect Analysis of Rigid Bronchoscope Combined with Fibrous Bronchoscope Alveolar Lavage in the Treatment of Children with Trachea Foreign Body Complicated with Severe Pneumonia
摘要
Abstract
Objective To analyze the application effect of rigid bronchoscope combined with fiberoptic bronchoscope alveolar lavage in the treatment of children with trachea foreign body complicated with severe pneumonia.Methods A total of 62 cases of children with trachea foreign body complicated with severe pneumonia admitted to our hospital from September 2022 to March 2024 were selected as subjects,they were divided into control group and observation group according to different treatment methods applied,with 31 cases in each group.The control group was treated with fiberoptic bronchoscope alveolar lavage,while the observation group was treated with a rigid bronchoscope on the basis of control group.The clinical effects,blood gas indexes,serum inflammatory factors and complications of the two groups were compared.Results The overall effective rate for the observation group was 93.55%,significantly surpassing the control group's rate of 70.96%(P＜0.05).After treatment,the Oxygenation index(PaO2/FiO2)and dynamic lung compliance(CLdyn)in observation group were higher than those in control group,the arterial partial pressure of carbon dioxide(PaCO2)in the experimental group was found to be significantly lower than that in the control group(P＜0.05).After treatment,the inflammatory indices observed in the observation group were significantly lower than those in the control group(P＜0.05).Additionally,the incidence of complications in the observation group was recorded at 3.23%,which is markedly lower than the 25.81%observed in the control group(P＜0.05).Conclusions Rigid bronchoscope combined with fiberoptic bronchoscope alveolar lavage can more effectively improve the respiratory function of children with tracheal foreign body complicated with severe pneumonia,reduce the level of inflammatory factors and lower the incidence of complications.关键词
儿童气管异物/重症肺炎/硬性支气管镜/纤维支气管镜肺泡灌洗术/血气指标Key words
Trachea foreign body in children/Severe pneumonia/Rigid bronchoscope/Fiberoptic bronchoscope alveolar lavage分类
医药卫生引用本文复制引用
应炳泉,贺芬..硬性支气管镜联合纤维支气管镜肺泡灌洗术治疗儿童气管异物合并重症肺炎的疗效分析[J].实用中西医结合临床,2025,25(4):1-4,4.基金项目
2023年江西省卫生健康委员会科技计划项目(编号:202311037) （编号:202311037）
