背景技术支气管镜检查是评估的必要程序,诊断,治疗儿科呼吸系统疾病。在这项研究中,我们证明了在三级转诊医院进行支气管镜检查的适应症和禁忌症,沙迦的AlQassimi妇女儿童医院(AQWCH),阿拉伯联合酋长国(UAE),以实现更好的服务。本研究旨在评估患者的特征,诊断和治疗适应症,以及支气管镜检查的并发症。材料和方法本回顾性图表回顾包括1天至13岁的儿童,被AQWCH录取,在2018年1月至2019年12月期间接受了支气管镜检查(刚性或柔性)程序的患者。所有患者均采用电脑检索出院诊断,这被编码为“儿科支气管镜检查,灵活,刚性,支气管肺泡灌洗主要研究结果指标是评估患者的特征,诊断或治疗适应症,支气管肺泡灌洗(BAL)分析,以及AQWCH支气管镜检查的并发症。结果年龄小于13岁的患者进行了72例小儿支气管镜检查(刚性和柔性);支气管镜检查的原因是诊断性的占51%,诊断性和治疗性的占49%。咳嗽是最常见的症状(n=53;74%),胸部衰退是最常见的临床发现(n=46;64%)。异物吸入是主要适应症(n=23;32%),其次是喘鸣(26%)。巩固是最常见的放射学发现。异物是常见的发现,在25%的支气管镜检查中看到,其次是气管软化17%。89%的人证实了疑似诊断,54%的患者需要改变管理方式.手术过程中的主要并发症是去饱和(26%),咳嗽是支气管镜检查后的主要并发症(14%)。对28例(39%)患者进行了BAL,其中75%的BAL培养为阳性。根据70%的阳性病史,当怀疑异物吸入时,进行刚性支气管镜检查,60%的体检异常,39%的患者出现胸部X线异常。对患者病史的敏感性和特异性,体检,胸部X线片分别为80%和83%,66%和60%,40%和66%,分别。结论支气管镜检查是一种重要的评估工具,诊断,治疗儿科呼吸系统疾病。虽然这是一个安全的程序,它仍然需要患者的精心选择,因为它是侵入性的。
Background Bronchoscopy is an essential procedure for evaluating, diagnosing, and treating pediatric respiratory diseases. In this
study, we demonstrate the indications and contraindications of bronchoscopy done in a tertiary referral hospital, Al Qassimi Woman\'s and Children\'s Hospital (AQWCH) in Sharjah, United Arab Emirates (UAE), in order to achieve better service. This
study aims to evaluate patients\' characteristics, diagnostic and therapeutic indications, and complications of bronchoscopy. Material and method This retrospective chart review included children aged between one day and 13 years, admitted to AQWCH, who underwent bronchoscopy (rigid or flexible) procedures between January 2018 and December 2019. All patients were identified by using a computerized search of hospital discharge diagnosis, which was codified as \"pediatric bronchoscopy, flexible, rigid, bronchoalveolar lavage\". The main
study outcome measure was to evaluate patients\' characteristics, diagnostic or therapeutic indications, bronchoalveolar lavage (BAL) analysis, as well as complications of bronchoscopy at AQWCH. Results There were 72 pediatric bronchoscopies (rigid and flexible) performed in patients aged less than 13 years old; the reason for bronchoscopy procedure was diagnostic in 51% and both diagnostic and therapeutic in 49%. Cough was the most common symptom (n=53; 74%), and chest recession was the most common clinical finding (n=46; 64%). Foreign body aspiration was the main indication (n=23; 32%), followed by stridor (26%). Consolidation was the most common radiological finding. Foreign body was the common finding, seen in 25% of bronchoscopies, followed by
tracheomalacia in 17%. The suspected diagnosis was confirmed in 89%, and management change was needed in 54% of patients. The main complication during the procedure was desaturation (26%), and cough was the main post-bronchoscopy complication (14%). BAL was done for 28 (39%) patients, in which BAL culture was positive in 75%. Rigid bronchoscopy was done when foreign body aspiration was suspected based on positive history in 70%, abnormal physical examination in 60%, and chest X-ray abnormalities in 39% of patients. Sensitivity and specificity for patient history, physical examination, and chest X-ray were 80% and 83%, 66% and 60%, and 40% and 66 %, respectively. Conclusion Bronchoscopy is an important tool for evaluating, diagnosing, and treating pediatric respiratory diseases. While it is a safe procedure, it still needs a careful selection of patients as it is invasive.