- 期刊
The Safety of Flexible Bronchoscopy as an Outpatient Procedure in Young Infants
於門診執行嬰兒軟式支氣管鏡之安全性
摘要
兒童軟式支氣管鏡檢查目前被認為是較具侵入性之診斷工具，因此通常安排住院檢查。本篇研究目的在評估於門診執行嬰兒軟式支氣管鏡之安全性。 我們收集自1997年至2003年年齡小於三個月且於門診執行軟式支氣管鏡之嬰兒，並且把先前已知患有先天呼吸道或其他嚴重畸形之病患排除。共有83位病患在本院兒童胸腔科門診接受軟式支氣管鏡檢查。喘嗚聲是最常見做此檢查之原因(60.2%)，其次是呼吸道雜音及喘(20.5%)。檢查結果以軟喉症最常見是(60.2%)共有2個病患發生較嚴重之併發症(2.4%)，一個併發痙孿、一個併發心肺衰竭。 經審慎評估後，門診執行嬰兒軟式支氣管鏡檢查是一安全且有效的診斷方式，其發生較嚴重之併發症之發生率低。
並列摘要
Objectives: Flexible endoscopy (FE) for the pediatric aerodigestive tract is an invasive and complicated procedure; therefore it usually is performed under an inpatient setting. We investigate whether FE can be a safe procedure for outpatient young infant (＜3 month old). Methods: Outpatient FE records were retrospectively reviewed between 1997 and 2003. All patients were aged less than 3 month old, and those with known airway or other major anomalies were excluded. The safety and efficacy of outpatient FE were evaluated, and the findings were also recorded. Results: A total of 83 young infants (54 malesand 29 females) were collected. Stridor was the most common symptom in 50 (60.2%) followed by noisy breathing sound and dyspnea/tachypnea both in 17 (20.5%). Laryngomalacia was the most common bronchoscopic finding and account for 60.2%. After FE, there were 7 cases of admissions (8.4%), and only 2 cases were associated with the complications of FE, which encountered 2.4% of all cases. Convulsion was noted in one case, and the other suffered from cardiopulmonary failure during the procedures. Conclusions: From this study, we can concluded that the outpatient FE was a safe and effective procedure, and admission was indicated when the major complications happened. It is a tolerable procedure in young infants in the outpatient basis.