Usefulness of intraoperative bronchial lavage in infant patients of bronchial foreign bodies with subsequent pneumonia.
- Author:
Jianya ZHANG
1
;
Min YIN
;
Lei CHENG
Author Information
1. Department of Otorhinolaryngology, Nanjing Children's Hospital, Nanjing Medical University, Nanjing, 210008, China.
- Publication Type:Journal Article
- MeSH:
Bronchi;
Bronchoalveolar Lavage;
Child, Preschool;
Female;
Foreign Bodies;
complications;
therapy;
Humans;
Infant;
Intraoperative Complications;
Male;
Pneumonia;
complications;
therapy
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(15):696-699
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the effect of bronchial lavage (BL) on infant bronchial foreign bodies with pneumonia during the bronchoscopic surgery, and assess its clinical value.
METHOD:One hundred and twenty-three cases aged between 1-3 years were randomly divided into two groups. The control group (n=58) underwent rigid bronchoscopic retrieval of foreign bodies under general anaesthesia, and the BL group (n=65) received an additional BL using 1% lidocaine (2 ml) with 1:100000 epinephrine, and 0.125% metronidazole (5 ml) during the bronchoscopic procedure. We compared intraoperative complications and postoperative recovery time between the two groups.
RESULT:The incidence rate of complications in the BL group was significantly lower than that in the control group (P<0.05). An earlier recovery after surgery was achieved in the BL group (P<0.05).
CONCLUSION:Intraoperative BL is a safe and effective therapy for reducing the incidence of complications and improving the recovery in infant patients of bronchial foreign bodies with subsequent pneumonia.
