纤维支气管镜检查在儿童慢性咳嗽中的诊断价值

余熠, 王颖硕, 陈志敏

中国当代儿科杂志 ›› 2008, Vol. 10 ›› Issue (3) : 319-321.

PDF(1179 KB)
PDF(1179 KB)
中国当代儿科杂志 ›› 2008, Vol. 10 ›› Issue (3) : 319-321.
临床研究

纤维支气管镜检查在儿童慢性咳嗽中的诊断价值

  • 余熠,王颖硕,陈志敏
作者信息 +

Etiologic identification of chronic cough by bronchofibroscopy in children

  • YU Yi,WANG Ying-Shuo,CHEN Zhi-Min.
Author information +
文章历史 +

摘要

目的:探讨和分析纤维支气管镜检查在诊断小儿慢性咳嗽中的应用价值。方法:2006年1月至2007年3月,对原因不明或常规治疗效果不佳的反复或持续性咳嗽时间超过1个月的慢性咳嗽患儿118例,男73例,女45例,年龄3个月至13岁,应用纤维支气管镜,在局部麻醉下进行病因检查和局部治疗。结果:118例患儿中有115例获病因诊断,最多见的原因依次为反复感染(39例)、支气管异物(19例,其中18例成功取出)、上呼吸道咳嗽综合征(17例)、支气管哮喘或咳嗽变异性哮喘(17例),其他较少见的有喉-气管-支气管软化、先天畸形、纤毛不动综合征等。结论:儿科开展纤维支气管镜术对儿童慢性咳嗽的病因诊断具有重要价值,是一种安全有效的检查方法。

Abstract

OBJECTIVE: To study the value of bronchofibroscopy in the etiologic identification of chronic cough in children.METHODS: Under local anesthesia of lidocaine, bronchofibroscopy was performed in 118 children with chronic cough of unknown origin (73 males and 45 females). Their ages ranged from 3 months to 13 years. RESULTS: The cause of chronic cough was identified in 115 cases. The most common cause was respiratory infection (n=39),followed by bronchial foreign bodies (n=19), upper airway cough syndrome (n=17), bronchial asthma or cough variant asthma (n=17), bronchomalacia (n=7), bronchial congenital malformation (n=5), primary ciliary dyskinesia (n=3), gastro-esophageal reflux (n=3), bronchial tumor (n=2), bronchial tuberculosis (n=1), pulmonary fibrosis (n=1) and idiopathic pulmonary hemosiderosis (n=1). CONCLUSIONS: Bronchofibroscopy is useful in the etiologic identification of chronic cough in children.

关键词

纤维支气管镜 / 慢性咳嗽 / 儿童

Key words

Bronchofibroscopy / Chronic cough / Child

引用本文

导出引用
余熠, 王颖硕, 陈志敏. 纤维支气管镜检查在儿童慢性咳嗽中的诊断价值[J]. 中国当代儿科杂志. 2008, 10(3): 319-321
YU Yi, WANG Ying-Shuo, CHEN Zhi-Min. Etiologic identification of chronic cough by bronchofibroscopy in children[J]. Chinese Journal of Contemporary Pediatrics. 2008, 10(3): 319-321
中图分类号: R768.1   

PDF(1179 KB)

Accesses

Citation

Detail

段落导航
相关文章

/