Bronchoalveolar lavage for the treatment of neonatal pulmonary atelectasis under lung ultrasound monitoring in 32 cases
10.3760/cma.j.issn.1007-9408.2017.03.013
- VernacularTitle:肺脏超声监测下支气管-肺泡灌洗治疗新生儿肺不张32例
- Author:
Jing LIU
;
Wei FU
;
Bo AO
;
Yan WANG
- Keywords:
Pulmonary atelectasis;
Bronchoalveolar lavage;
Ultrasonography,interventional;
Infant,newborn
- From:
Chinese Journal of Perinatal Medicine
2017;20(3):213-218
- CountryChina
- Language:Chinese
-
Abstract:
Objectves To investigate the effectiveness and safety of bronchoalveolar lavage for the treatment of neonatal pulmonary atelectasis under ultrasound monitoring.Methods Thirty-two neonates diagnosed with pulmonary atelectasis by lung ultrasound,and hospitalized in the Neonatal Intensive Care Unit of Bayi Children's Hospital,the General Hospital of the Chinese People's Liberation Army between July 2014 and June 2016,were included in this study.Bronchoalveolar lavage was performed in all the patients by injection of lavage fluid (0.9％ NaC1 or 0.9％ NaCl plus ambroxol hydrochloride and/or exogenous pulmonary surfactant) 1.5 to 3.0 ml via tracheal intubation.Lung ultrasonography was performed immediately after each lavage to reveal the status of lung recruitment.Repeated lavage one to three times made up of one course of treatment.The bronchoalveolar lavage could be performed for one to two courses daily according to the status of atelectasis recovery.Medical records were reviewed to analyze descriptively the effectiveness,side effects and complications of the bronchoalveolar lavage.Results Bronchoalveolar lavage was significantly effective in 25 patients (78.1％) with disappearance of pulmonary atelectasis after one course of treatment;effective in five cases (15.6％) with disappearance or reduction of atelectasis after two or three courses;with a total effectiveness rate of 93.8％(30/32).Bronchoalveolar lavage was ineffective in two cases (6.2％) with no remarkable change in atelectasis after three courses of treatment.Vital signs were stable in all the infants during the bronchoalveolar lavage,and no adverse effects and complications occurred.Conclusions Bronchoalveolar lavage is effective for the treatment of neonatal pulmonary atelectasis under ultrasound monitoring,and it is easy to operate and with no adverse effects and complications,and thus worth of clinical application.
