- 期刊
Pediatric Flexible Bronchoscopy: A Three-Year Experience
小兒軟式支氣管鏡檢查：三年之經驗
摘要
目前小般小兒科醫師認為小兒軟式支氣管鏡檢查為高度危險之檢查，往往有適應症之病人，也不建議檢查。本院自民國80年10月至83年9月底三年內運用Olympus 3C20軟式支氣管鏡，以鎮靜劑，局部麻醉術總共完成124例。年齡頒佈少于一個月有11位，一歲以下有52位，六歲以下總計有94位，占全數四分之三。 診斷結果最黨風之原因有喉頭軟骨發育不良氣管同异物，聲門下狹窄，氣管狹窄等。并發症計有6例，均為動脈血氧低下，經處理後均無大礙。 結論是小兒軟式支氣管鏡檢查是既安全，又對呼吸道有异常病變之診斷及擬定治療方針有莫大裨益。
關鍵字
小兒軟式支氣管鏡並列摘要
One hundred and forty-one flexible fiberoptic bronchoscopies were performed in 124 pediatric patients in Chang Gung Children's Hospital between October 1991 and September 1994. Eleven of these patients were younger than I month old; 52 patients were younger than 1 year old; 94 patients were younger than 6 years old. The bronchoscope used was Olympus BF 3C20; with a 3.5 mm outer diameter, it also has a build-in 1.2 mm working channel. Most of the procedures were done in the pediatric intensive care unit. Oral chloral hydrate and parenteral benadryl were given as pre-sedation medication 30 minutes before the procedures; for most cases intravenous midazo lam and meperidine hydrochloride were given immediately before the examination. The most common diagnoses were laryngomalacia, airway foreign bodies, subglottic stenosis or tracheal stenosis. Six episodes of transient hypoxemia and one brief episode of apnea were encountered. It was concluded that flexible fiberoptic bronchoscopy, very useful and safe in pediatric patients, has been underused in Taiwan.