摘要
目的:回顾并分析儿童支气管镜检查术中及术后出现的并发症,探讨防治措施,提高手术安全性。方法:选取2016年1月至2019年1月期间,在我院行电子支气管镜检查治疗,年龄在0~14的患儿312例,记录术中、术后并发症发生情况。结果:312例患儿病历资料中共记录支气管镜检查347次。检查术中和术后,共记录并发症48例,其中一般并发症36例(术中19例,术后17例),严重并发症12例(术中10例,术后2例),一般并发症发生率为11.54%,严重并发症发生率为5.47%;低氧血症是最常见并发症,共计发生16例(3.85%);另外,术后发热和术中出血也是常见并发症。结论:由于儿童生理、解剖结构的特殊性,支气管镜检查并发症发生率高于成人,应通过严格掌握检查适应证、完善术前检查、熟练技术操作提高操作安全性。
Objective:The complications occurred during and after bronchoscopy in children were reviewed and analyzed.Method:From January 2016 to January 2019,312 children aged 0-14 who underwent electronic bronchoscopy in our hospital were selected to record the intraoperative and postoperative complications.Results:A total of 347 bronchoscopy examinations were recorded in the medical records of 312 children.During and after the operation,a total of 48 cases of complications were recorded,including 36 cases of general complications(19 cases during the operation and 17 cases after the operation)and 12 cases of serious complications(10 cases during the operation and 2 cases after the operation).The incidence of general complications was 11.54%and the incidence of serious complications was 5.47%.Hypoxemia was the most common complication,with a total of 16 cases(3.85%).Postoperative fever and intraoperative bleeding are also common complications.Conclusion:Because of the particularity of children's physiology and anatomy,the incidence of complications of bronchoscopy is higher than that of adults.The safety of operation should be improved by strictly grasping the indication of bronchoscopy,perfecting preoperative examination and skilled operation.
作者
罗新兵
鲍琼
汪莎莎
李敬风
LUO Xinbin;BAO Qiong;WANG Shasha(Shiyan Taihe Hospital,Hubei Shiyan 442000,China)
出处
《河北医学》
CAS
2019年第7期1202-1205,共4页
Hebei Medicine
基金
湖北省自然科学基金项目,(编号:2015CBD03174)
关键词
支气管镜
并发症
儿科
Bronchoscopy
Complications
Pediatrics
