Application of Fiberoptic Bronchoscopy for Diagnosis and Treatment of Dyspnea Accompanied by Airway Abnormality in Neonates
Objective To investigate the clinical application significance of fiberoptic bronchoscopy (FB) in iden-tifying causes of neonatal dyspnea. Methods A total of 71 neonates with unexplained dyspnea admitted to the neonatal intensive care unit of Ma'anshan People's Hospital between January 2020 and July 2023 who underwent FB were retro-spectively analyzed. Their clinical characteristics,bronchoscopy results,and treatment effects were summarized and ana-lyzed. Results Among the 71 newborns with unexplained dyspnea who underwent bronchoscopy,the top three indications for bronchoscopy were failure of withdrawal from mechanical ventilation,bronchopulmonary dysplasia (BPD),and laryngeal wheezing. The top four diagnoses identified through bronchoscopy were endobronchitis (23 cases,32.1％),laryngeal chon-dromalacia (15 cases,21.1％),tracheobronchial chondromalacia (12 cases,16.9％),and tracheal bronchus (7 cases,9.9％). Eighteen children with endobronchial inflammation without other respiratory complications were cured by bronchial lavage and symptomatic supportive treatment,while symptoms of the remaining cases were relieved after treatment guided by bron-choscopy findings. No serious complications occurred during bronchoscopy. Conclusion Fiberoptic bronchoscopy can be safely used in the diagnosis and treatment of unexplained dyspnea in neonates. Bronchoscopy is recommended when with-drawal failure,bronchopulmonary dysplasia,or laryngeal wheezing occurs.
万方数据
维普
