Application analysis of fiberoptic bronchoscopy in pediatric intensive care unit
To analyze the application effect and safety of fiberoptic bronchoscopy in pediatric intensive care unit (PICU). Methods The data of 106 children with fiberoptic bronchoscopy who were hospitalized in PICU of the First Affiliated Hospital of Hainan Medical College from December 2017 to December 2020 were retrospectively analyzed, and the results and safety of fiberoptic bronchoscopy were analyzed. . Results All 106 children were diagnosed by fiberoptic bronchoscopy, including 8 cases (7.55%) with simple bronchial inflammation, and 98 cases (92.45%) with abnormal respiratory tract anatomy; 61 cases of 106 children underwent bronchial surgery for several times. Bronchoalveolar lavage fluid examination and treatment, among which 45 cases of examination results were consistent with the results of tracheal intubation tip culture or sputum culture (73.77%); 106 cases of children's arterial blood oxygen partial pressure index 1 hour after fiberoptic bronchoscopy was compared with 1 hour before examination Significantly increased (P<0.01); 1d C-reactive protein detection value of 106 children after fiberoptic bronchoscopy was significantly lower than 1 day before examination (P<0.01); 11 of 106 children were cured (10.38%), and 81 were improved. During fiberoptic bronchoscopy, 27 cases (25.47%) had decreased blood oxygen saturation, 2 cases (1.89%) had mild laryngospasm, but The treatment was not affected, and no obvious postoperative complications occurred. Conclusion Fiberoptic bronchoscopy has high application value in respiratory diseases in children hospitalized in PICU. The fiberoptic bronchoscopy can be used for timely and correct diagnosis, and bronchoalveolar lavage fluid can be used for effective treatment in the process of diagnosis. higher security
