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題名 | The Safety of Flexible Bronchoscopy as an Outpatient Procedure in Young Infants=於門診執行嬰兒軟式支氣管鏡之安全性 |
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作者 | 陳萬德; 宋文舉; 張華倫; 李昱聲; 鄭枚枝; 黃碧桃; | 書刊名 | 中華民國兒童胸腔醫學會雜誌 |
卷期 | 5:3 2007.05[民96.05] |
頁次 | 頁137-144 |
分類號 | 417.5312 |
關鍵詞 | 軟式支氣管鏡; 門診; 嬰兒; Fiberoptic bronchoscopy; Outpatient; Young infant; |
語文 | 英文(English) |
中文摘要 | 兒童軟式支氣管鏡檢查目前被認為是較具侵入性之診斷工具,因此通常安排住院檢查。本篇研究目的在評估於門診執行嬰兒軟式支氣管鏡之安全性。我們收集自1997年至2003年年齡小於三個月且於門診執行軟式支氣管鏡之嬰兒,並且把先前已知患有先天呼吸道或其他嚴重畸形之病患排除。共有83位病患在本院兒童胸腔科門診接受軟式支氣管鏡檢查。喘嗚聲是最常見做此檢查之原因 (60.2%),其次是呼吸道雜音及喘 (20.5%)。檢查結果以軟喉症最常見是 (60.2%) 共有2個病患發生較嚴重之併發症 (2.4%),一個併發痙孿、一個併發心肺衰竭。經審慎評估後,門診執行嬰兒軟式支氣管鏡檢查是一安全且有效的診斷方式,其發生較嚴重之併發症之發生率低。 |
英文摘要 | Objectives: Flexible endoscopy (FE) for the pediatric aerodigestive tract is an invasive and complicated procedure; therefore it usually is performed under an inpatient setting. We investigate whether FE can be a safe procedure for outpatient young infant (<3 month old). Methods: Outpatient FE records were retrospectively reviewed between 1997 and 2003. All patients were aged less than 3 month old, and those with known airway or other major anomalies were excluded. The safety and efficacy of outpatient FE were evaluated, and the findings were also recorded. Results: A total of 83 young infants (54 malesand 29 females) were collected. Stridor was the most common symptom in 50 (60.2%) followed by noisy breathing sound and dyspnea/tachypnea both in 17 (20.5%). Laryngomalacia was the most common bronchoscopic finding and account for 60.2%. After FE, there were 7 cases of admissions (8.4%), and only 2 cases were associated with the complications of FE, which encountered 2.4% of all cases. Convulsion was noted in one case, and the other suffered from cardiopulmonary failure during the procedures. Conclusions: From this study, we can concluded that the outpatient FE was a safe and effective procedure, and admission was indicated when the major complications happened. It is a tolerable procedure in young infants in the outpatient basis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。