JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (8): 84-87.doi: 10.6040/j.issn.1671-7554.0.2015.681

Previous Articles     Next Articles

Applications of electronic bronchoscope in diagnosis and treatment of dyspnea in newborns

CHEN Dong1, LI Xiaoying1, MA Jing2, WANG Yunfeng3, ZHANG Wen3   

  1. 1. NICU, Jinan Childrens Hospital, Jinan 250022, Shandong, China;
    2. Department of Interventional Pulmonology, Jinan Children s Hospital, Jinan 250022, Shandong, China;
    3. Department of Pediatrics, Ma Ai Yun Womens and Childrens Hospital, Juancheng 274600, Shandong, China
  • Received:2015-07-17 Online:2016-08-10 Published:2016-08-10

PDF (PC)

545

Abstract: Objective To explore the value and safety of electronic bronchoscope in diagnosis and treatment of dyspnea in newborns. Methods A retrospective study including 122 newborns with bronchoscopy was performed, 101 of which were suspicious congenital airway dysplasia(suspicious dysplasia group), and 21 curing pulmonary atelectasis(atelectasis group)by bronchoalveolar lavage. Results In suspicious dysplasia group, there were 52 newborns with airway dysplasia, including laryngomalacia(25/101, 24.8%), tracheomalacia(18/101, 17.8%)and vocal cord paralysis(15/101, 14.9%), and 25 of which had multiple airway dysplasias; as opposed to 49 newborns without airway dysplasia. In atelectasis group, 21 newborns with pulmonary atelectasis were cured by bronchoalveolar lavage, 3 of which accompanied by congenital bronchomalacia. Conclusion Bronchoscope has the dual function in newborn dyspnea examination and treatment with high safty.

Key words: Airway dysplasia, Bronchoscope, Newborns, Dyspnea, Bronchoalveolar lavage

CLC Number: 

  • R722
[1] Michelson RP. Full lumen infant bronchoscope[J]. AMA Arch Otolaryngol,1951, 53(1): 93-96.
[2] 何少茹, 孙云霞, 粱穗新, 等.纤维支气管镜在新生儿重症监护室中的诊疗价值[J].中华围产医学杂志, 2006, 9(1): 47-48.
[3] 姜赤秋, 高源, 洪艳, 等. 早期新生儿呼吸困难196例临床分析[J]. 中国妇幼保健, 2012, 27(9): 1334-1335.
[4] 王丽萍, 张明, 李巍, 等. 新生儿重度上呼吸道梗阻的病因分析[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(10): 753-756. WANG Liping, Zhang Ming, LI Wei, et al. Etiologic analysis of severe neonatal upper respiratory obstruction[J]. Chin J Otorhinolaryngol Head Neck Surg, 2007, 42(10): 753-756.
[5] Snijders D, Barbato A. An update on diagnosis of tracheomalacia in children[J]. Eur J Pediatr Surg, 2015(25): 333-335.
[6] Field-Ridley A, Sethi V, Murthi S, et al. Utility of flexible fiberoptic bronchoscopy for critically ill pediatric patients: A systematic review[J]. World J Crit Care Med, 2015, 4(1): 77-88.
[7] 郑跃杰.可弯曲气管镜术在儿科的应用指征[J].实用儿科临床杂志, 2011, 26(16): 1303-1304. ZHENG Yuejie. Indications for pediatric flexible bronchoscopy[J]. J Appl Clin Pediatr, 2011, 26(16): 1303-1304.
[8] 李丹丹, 丁辉, 赵淑玉. 纤维支气管镜在新生儿呼吸道畸形诊断中的应用[J].中国小儿急救医学, 2012, 19(3): 306-307.
[9] 何少茹, 孙云霞, 余宇晖,等. 纤维支气管镜在新生儿重症监护室中的应用[J].临床儿科杂志, 2009, 27(1): 18-21. HE Shaoru, SUN Yunxia, YU Yuhui, et al. The applications of flexible fiberoptic bronchoscopy in NICU[J]. J Ciln Pediatr, 2009, 27(1): 18-21.
[10] 黄芙蓉, 张爱民, 徐俊. 纤维支气管镜在新生儿呼吸道疾病中的临床应用[J].医学临床研究, 2014, 31(6): 1212-1214.
[11] 何少茹, 孙云霞, 钟劲. 纤支镜在新生儿呼吸系统疾病中的诊断价值[J].中山大学学报(医学科学版), 2005, 26(z1): 239-240.
[12] 张爱民, 徐俊, 王娟梅. 纤维支气管镜在新生儿呼吸道疾病诊治中的应用[J].中国当代儿科杂志, 2014, 16(3): 306-308.
[13] 蒙来成, 刘兴丽, 邓红丽. 纤维支气管镜在新生儿呼吸道疾病诊治中的作用[J].中国内镜杂志, 2009, 15(9): 990-992. MENG Laicheng, LIU Xingli, DENG Hongli. Role of fiberoptic bronchoscopy in diagnosis and treatment of neonates respiratory tract diseases[J]. China Journal of Endoscopy, 2009, 15(9): 990-992.
[14] Vijayasekaran D, Kalpana S, Ramachandran P. Indications and outcome of flexible bronchoscopy in neonates[J]. Indian J Pediatr, 2012, 79(9): 1181-1184.
[15] 梁卓信, 陈继昌. 支气管灌洗在新生儿疾病的应用进展[J].医学综述, 2007, 13(4): 279-281. LIANG Zhuoxin, CHEN Jichang. The application of bronchial lavage in neonatal disease[J]. Medical Recapitulate, 2007, 13(4): 279-281.
[16] 张谦慎, 朱小瑜. 纤维支气管镜在新生儿领域的应用进展[J].中华围产医学杂志, 2007, 10(2): 136-138.
[17] Kohelet D, Arbel E, Shinwell ES, et al. Flexible fiberoptic bronchoscopy-a bedside technique for neonatologists[J]. J Matern Fetal Neonatal Med, 2011, 24(3): 531-535.
[18] 蒙来成, 刘兴丽, 邓红丽. 纤维支气管镜在新生儿呼吸道疾病的临床应用[J].广东医学, 2007, 28(5): 724-726.
[19] 马雁, 周锦妍, 李克蓉. 纤维支气管镜诊治早产极低体重儿肺不张11例临床分析[J].大家健康, 2014, 8(8): 177-178.
[1] HUANG Haidong, ZHENG Guiliang, WANG Qin, YANG Yuguang, LI Qiang, BAI Chong. A new field of therapeutic interventional pulmonology——clinical application of tracheal T tube [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(4): 23-29.
[2] LI Ting-tian1, SHAO Lei2, ZHAI Cong-ying1, YIN Kang1, YANG Yan-ping1，2. Determination of the concentration of SIgA in BALF in rats with chronic  obstructive pulmonary disease and diabetes mellitus [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(4): 17-.
[3] LI Hongmei1， FENG Rui2， WANG Zixuan3， XIN Luqun1. Significance of  determination of telomerase activity in induced sputum and fiberobronchoscopic biopsy samples for lung cancer diagnosis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(6): 115-.
[4] WANG Shasha， SHAO Yang, ZHANG Dong, WANG Lijiang, JIANG Shujuan. Trans-bronchial needle aspiration in diagnosing extra bronchial lesions [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(1): 120-122.
[5] LI Wei,LI Dao-wei,YE Qian,GAO Shun-cui,JIANG Shu-juan.

Diagnostic value of transbronchial needle aspiration in paratracheal mediastinal lesions

[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(11): 1063-1065.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd