Indications and Complications of Flexible Fiberoptic Bronchoscopy in Children: A 5-Year Experience at a Tertiary Care Hospital in Iran
Indications and Complications of Flexible Fiberoptic Bronchoscopy in Children: A 5-Year Experience at a Tertiary Care Hospital in Iran
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DOI：
10.5812/ijp.92535
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发表时间：
2020-04-01
影响因子：
0.5
通讯作者：
Modaresi, Mohammad Reza
中科院分区：
文献类型：
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作者：
Shirzadi, Rohola;Navaei, Safoura;Modaresi, Mohammad Reza
背景：可屈性纤维支气管镜 (FFB) 被认为是评估儿科人群呼吸系统疾病的重要诊断和治疗方式。目的：本研究旨在强调我们人群中与支气管镜检查相关的常见适应症和并发症风险。方法：这项回顾性评估是在儿童医疗中心接受可屈性支气管镜检查的所有患者中进行的。 （隶属于德黑兰医科大学）于 2011 年 4 月至 2016 年 9 月期间进行。结果：在 800 例支气管镜检查中，574 例（71.7%）用于诊断，226 例（28.2%）用于治疗目的。主要适应症包括放射学异常（30%）、异物或疑似异物（占所有 FFB 的 28.5%）以及喘鸣或喘息（占所有 FBB 的 25%）。与 FFB 相关的主要并发症发生率为 0.87%。最常见的并发症是气胸，其次是肺出血和呼吸衰竭。结论：我们的研究结果支持对患有不同呼吸系统疾病的儿科人群进行早期干预和使用支气管镜检查。
Background: Flexible fiberoptic bronchoscopy (FFB) is known as an important diagnostic and therapeutic modality in the evaluation of respiratory disorders in pediatric population.Objectives: The study aims to highlight common indications and risk of complications associated with bronchoscopy in our population.Methods: This retrospective evaluation was performed in all patients that underwent flexible bronchoscopy at Children's Medical Center (affiliated to Tehran University of Medical Sciences) between April 2011 and September 2016.Results: Of 800 bronchoscopies, 574 (71.7%) were performed for diagnostic and 226 (28.2%) for therapeutic purposes. Major indications included radiographic abnormalities (30%), a foreign body or suspected foreign body (28.5% of all FFBs) and stridor or wheezing (25% of all FBB). The incidence of major complications associated with FFBs was 0.87%. The most frequent complication was pneumothorax, followed by lung hemorrhage, and respiratory failure.Conclusions: Our findings support early intervention and utilization of bronchoscopy in the pediatric population with variable respiratory complaints.