CAJ | 학술논문

目的探讨纤维支气管镜(以下简称纤支镜)检查在新生儿呼吸系统疾病的诊断和治疗中的护理及配合,确保操作顺利安全地进行。方法对27例次有严重呼吸道疾病的、内科治疗效果不显著的、怀疑有外科疾病的新生儿做纤支镜检查、治疗时进行系统、全面的配合与护理。结果通过27例次临床护理实践,患儿都能顺利而安全地完成检查,未发生任何意外。(1)2例次诊断为胎粪吸入综合征,23例次诊断为肺部疾病(其中有1例次合并右侧声带麻痹、l例次合并气管狭窄、1例次合并鼻咽部发育畸形、1例次合并右支气管桥),进行支气管肺泡灌洗、吸痰术后,呼吸道症状明显改善,24例次治愈出院,1例次因慢性肺病好转出院,(2)2例次诊断为食道闭锁,转小儿外科继续治疗。结论经纤支镜检查、治疗(支气管肺泡灌洗、吸痰)时给予积极配合及恰当的护理,能得出明确诊断,减少并发症,缩短病程。
목적탐토섬유지기관경(이하간칭섬지경)검사재신생인호흡계통질병적진단화치료중적호리급배합,학보조작순리안전지진행。방법대27례차유엄중호흡도질병적、내과치료효과불현저적、부의유외과질병적신생인주섬지경검사、치료시진행계통、전면적배합여호리。결과통과27례차림상호리실천,환인도능순리이안전지완성검사,미발생임하의외。(1)2례차진단위태분흡입종합정,23례차진단위폐부질병(기중유1례차합병우측성대마비、l례차합병기관협착、1례차합병비인부발육기형、1례차합병우지기관교),진행지기관폐포관세、흡담술후,호흡도증상명현개선,24례차치유출원,1례차인만성폐병호전출원,(2)2례차진단위식도폐쇄,전소인외과계속치료。결론경섬지경검사、치료(지기관폐포관세、흡담)시급여적겁배합급흡당적호리,능득출명학진단,감소병발증,축단병정。
objective to of fiberoptic bronchoscopy (hereinafter referred to as bronchoscopy) examination in neonatal respiratory disease diagnosis and treatment in the nursing and matching, to ensure smooth operation safely.Method on 27 cases of severe respiratory disease, curative effect is remarkable, Department of internal medicine, suspected of having surgical diseases of the newborn bronchoscopy, treatment system, comprehensive coordination and nursing care.Results 27 cases the clinical nursing practice, children can smoothly and safely complete the examination, did not produce any accidents.(1) 2 cases diagnosed as meconium aspiration syndrome, 23 cases diagnosed as pulmonary diseases (including 1 cases with right vocal cord paralysis, l patients with tracheal stenosis, 1 cases of combined nasopharynx development malformation, 1 cases complicated with right bronchial bridge), performed bronchoalveolar lavage, sputum suctioning later, respiratory symptoms improved, 24 cases were cured, 1 cases with chronic lung disease improve leave hospital, (2) 2 cases diagnosed as esophageal atresia, transposition of pediatric surgical treatment continues.Conclusion by bronchoscopy, treatment (bronchoalveolar lavage, sputum) to actively cooperate and proper care, can draw a clear diagnosis, reduce complications, shorten the course of disease.