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纤维支气管镜(简称纤支镜)术在我国成人科已普遍应用。但在儿科,由于患儿气道狭小,在检查中不能很好地配合等多种因素,使纤支镜的临床应用受到了很大限制。 自1990年以来,我院开展纤支镜诊治患儿62例、92次,男32例,女30例,年龄最小5个月,最大14岁;其中30次为镜检后复查及治疗。其中13例次采用芬太尼和氟哌啶等静脉全身麻醉。由于不能很好地抑制咳嗽反射,术中仍需2％利多卡因进行气管内粘膜表面局部麻醉。6/13的患儿由于自主呼吸
Fiber bronchoscopy (referred to as fiberoptic bronchoscopy) surgery has been widely applied in our adult subjects. However, in pediatrics, due to small airway in children, in the examination can not be well coordinated with other factors, the clinical application of fiberoptic bronze mirror has been greatly restricted. Since 1990, our hospital has performed fiberoptic diagnosis and treatment of 62 cases of children, 92 times, 32 males and 30 females, the youngest 5 months, maximum 14 years; of which 30 were microscopic examination and treatment. Among them, 13 cases received intravenous general anesthesia such as fentanyl and haloperidol. Due to the poor cough reflex, 2% lidocaine is still required for local anesthesia of endotracheal mucosa. 6/13 children breathe spontaneously