临床儿科杂志 ›› 2018, Vol. 36 ›› Issue (5): 356-.doi: 10.3969/j.issn.1000-3606.2018.05.009

• 综合报道 • 上一篇    下一篇

经支气管镜 CO2 冻取儿童肺段支气管异物的临床研究

张磊 1, 殷勇 1, 袁姝华 1, 张静 1, 潘春红 1, 张皓 1, 陈洁 2   

  1. 上海交通大学医学院附属上海儿童医学中心1.呼吸内科;2.耳鼻咽喉科(上海 200127)
  • 收稿日期:2018-05-15 出版日期:2018-05-15 发布日期:2018-05-15
  • 通讯作者: 殷勇 E-mail:scmc.zhang@163.com

Removal of bronchial foreign body in children by bronchoscopic CO2 Cryotherapy

 ZHANG Lei1, YIN Yong1, YUAN Shuhua1, ZHANG Jing1, PAN Chunhong1, ZHANG Hao1, CHEN Jie2   

  1. 1.Shanghai Children’s Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Pneumology Department,Shanghai 200127,China;2.Shanghai Children’s Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Otolaryngology  Department,Shanghai 200127,China
  • Received:2018-05-15 Online:2018-05-15 Published:2018-05-15

摘要: 目的 探讨通过支气管镜下CO2冷冻术方法冻取儿童肺段支气管异物的疗效以及安全性。方法 回顾分析 自2012年10月至2016年12月收治的8例经支气管镜下CO2冷冻术方法冻取肺段支气管异物的13~54个月患儿的临床资料。 结果 8例患儿,均成功取出异物,但其中2例有局部气道黏膜损伤,引起新生肉芽阻塞小部分气道。所有患儿均未出现严 重的不良反应和并发症。结论 通过支气管镜下CO2冷冻术冻取儿童肺段支气管异物有效,操作方式简便,可作为气道异 物取出术一种补充手段。

Abstract:  Objective To assess the efficiency and safety of the bronchoscopic CO2 cryotherapy to remove bronchial foreign body in children. Methods From Oct 2012 to Dec 2016, 8 cases diagnosed with the presence of bronchial foreign body were undergone the treatment with the bronchoscopic CO2 cryotherapy. The clinical data about the efficiency and complication were collected and retrospectively analyzed.  Results In the 8 cases, we successfully removed the bronchial foreign bodies without complications. In 2 cases, the foreign bodies were removed successfully, but cryotherapy partially damaged the airway mucosa, causing topical airway obstruction because of the newly developed granulation tissue. No serious adverse reactions or complications were observed after the treatment. Conclusions Removal of bronchial foreign bodies using bronchoscopic CO2 cryotherapy is an easy and effective method which can be used as a supplementary procedure for the bronchoscopic removal of foreign bodies in children’s airways.