纤维支气管镜检查在新生儿呼吸道疾病诊治中的护理.docVIP

纤维支气管镜检查在新生儿呼吸道疾病诊治中的护理 罗荣琼管利荣（通讯作者）何润夏佳余静张正萱江南（四川省绵阳市中心医 院儿科四川绵阳621000） 【中图分类号】R473.72【文献标识码】B【文章编号】1672-5085（2013）02-0301-02 【摘要】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，未发牛.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、I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。 【关键词】纤支镜检查新生儿护理 Fiberoptic bronchoscopy in diagnosis and treatment of respiratory diseases in neonatal nursing 【Abstract】 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, I 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. 【Key Words] fiberbronch