文献综述

婴幼儿纤维支气管镜诊疗中镇静技术的研究进展

  • 钟瑾虹 ,
  • 王灿 ,
  • 陈芳
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  • 1.中国医科大学深圳市儿童医院麻醉科
    2.南方科技大学深圳市儿童医院麻醉科(广东深圳 518038)
陈芳 电子信箱:18938690929@163.com

收稿日期: 2024-04-02

  录用日期: 2024-08-19

  网络出版日期: 2025-01-03

基金资助

深圳市科技计划项目(JCY20180228175338115)

Progress in the research of infantile fiberoptic bronchoscopy sedation

  • ZHONG Jinhong ,
  • WANG Can ,
  • CHEN Fang
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  • 1. Department of Anesthesiology, Shenzhen Children's Hospital, China Medical University
    2. Department of Anesthesiology, Shenzhen Children's Hospital, Southern University of Science and Technology, Shenzhen 518038, Guangdong, China

Received date: 2024-04-02

  Accepted date: 2024-08-19

  Online published: 2025-01-03

摘要

纤维支气管镜在儿科的应用已有数十年,作为一种气道侵入性操作,纤维支气管镜对于患儿气管和肺部疾病的诊断和治疗具有重要意义。由于患儿在检查过程中配合程度低、气道相对狭窄及缺氧耐受能力差等因素影响,儿科纤维支气管镜检查技术的应用受到一定限制。因此,更加安全及舒适的患儿纤维支气管镜诊疗是必需的,纤维支气管镜诊疗镇静/麻醉可以提高诊疗患儿的舒适度和安全性。本文综述了近年来患儿纤维支气管镜镇静的研究进展,为临床提供参考。

本文引用格式

钟瑾虹 , 王灿 , 陈芳 . 婴幼儿纤维支气管镜诊疗中镇静技术的研究进展[J]. 临床儿科杂志, 2025 , 43(1) : 50 -55 . DOI: 10.12372/jcp.2025.24e0301

Abstract

The use of fiberoptic bronchoscopy (FB) in pediatrics has been established over several decades, as an invasive airway procedure, FB is crucial for diagnosing and treating tracheal and pulmonary diseases in children. However, its application in pediatric patients is constrained by factors such as low patient cooperation, relatively narrow airways, and poor tolerance to hypoxia. Consequently, ensuring a safer and more comfortable FB examination and treatment for pediatric patients is imperative. Sedation and anesthesia during FB can significantly enhance the comfort and safety of the diagnostic and therapeutic procedures for pediatric patients. This review discusses recent advances in sedation techniques for pediatric patients undergoing FB and offers guidance for clinical practice.

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