The Application of Fiberoptic Bronchoscopy to the Diagnosis and Therapy of Diseases with Repeatedly Coughing and Wheezing

Objective:To investigate the diagnostic and therapeutic value of bronchoscopy in children with recurrent cough and wheezing and to assess the safety.Methods:A total of 178children with recurrent cough and wheezing for more than 1month were chosen for bronchoscopy,which were admitted to pediatric pulmonary department of the first people's hospital in Chenzhou from May 2010to March 2013.The clinic data were analyzd retrospectively.Results:Among 149cases,the most common findings were bronchial endocarditis(107cases),accounted for 60.11%,among which 93were simply bronchial endocarditis,combined with bronchus aperture dropsy and inflammatory narrowness(6 cases),airway inflammatory nodules(1case),combined with sputum bolt block(7cases),among which 4cases had been formed plastic bronchitis;The second cause was congenital tracheobronchial abnormalities,which accured in 57cases,accounting for 32.02%;The third cause was foreign bodies in the airway(9cases),accounting for 5.06%.Transient complications were occurred in only 24cases of 178patients in intraoperative or postoperative and the incidence was 13.48%.Conclusion:The fiber bronchoscope can be significant help for diagnosis and therapy of diseases with repeatedly cough and wheezing.