资阳市人民医院成功开展一例5岁儿童喉罩全麻舒适化纤维支气管镜肺泡灌洗术
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section><section style="background-image: url('https://pic.app.jiuquhe.com/FgxZQMAXmwmKBSvbaoME5U4OAT8P'); background-repeat: repeat; background-size: auto;"><section style="display: flex; flex-direction: column;"><section style="line-height: 27.2px;"><p style="text-align: center;"> </p></section><section style="width: 91%; flex: 0 0 91%; margin-left: auto; margin-right: auto;"><section style="margin: 20px auto;"><section><section style="display: flex; justify-content: flex-start;"><section style="flex-shrink: 0;"><section style="width: 50px; height: 4px; background-color: #114c99; overflow: hidden;"></section></section><section style="flex-shrink: 0;"><section style="width: 15px; height: 4px; background-color: #e36c09; overflow: hidden;"></section></section></section><section style="background-color: #ffffff; padding: 15px;"><section style="font-size: 14px; color: #333; letter-spacing: 1.5px; line-height: 1.75em;"><section style="color: #114c99; text-indent: 2em; line-height: 1.6em;"><span style="color: #114c99; letter-spacing: 1.5px; text-decoration: none; font-size: 16px;">2025年3月8日上午，资阳市人民医院儿科、麻醉科及医疗护理团队成功为一名</span><strong><span style="letter-spacing: 1.5px; text-decoration: none; font-size: 16px; color: #ff4c00;">5岁患儿</span></strong><span style="color: #114c99; letter-spacing: 1.5px; text-decoration: none; font-size: 16px;">实施</span><strong><span style="letter-spacing: 1.5px; text-decoration: none; font-size: 16px; color: #ff4c00;">全市首例喉罩全麻舒适化纤维支气管镜检查及肺泡灌洗术</span></strong><span style="color: #114c99; letter-spacing: 1.5px; text-decoration: none; font-size: 16px;">。此项技术的成功，标志着资阳市人民医院</span><strong><span style="letter-spacing: 1.5px; text-decoration: none; font-size: 16px; color: #ff4c00;">在儿童呼吸系统疾病诊疗领域实现技术突破</span></strong><span style="color: #114c99; letter-spacing: 1.5px; text-decoration: none; font-size: 16px;">，为区域儿科舒适化医疗树立了新标杆，开创了资阳市儿童舒适化医疗新纪录。</span></section></section></section></section></section></section><section style="line-height: 27.2px;"><section><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="background-image: url('https://pic.app.jiuquhe.com/FjOhEW7GWOTXFq_3Nt1NSOToSDr2'); background-repeat: no-repeat; background-position: center top; background-size: cover; padding-top: 5px; padding-bottom: 5px;"><section style="text-align: center; padding-right: 5px; padding-left: 5px; border: 1px solid #033fce;"><p><strong><span style="font-size: 16px; color: #033fce;">精准评估，多学科护航</span></strong></p></section></section></section></section><section style="margin-right: auto; margin-bottom: 0px; margin-left: auto; width: 525.977px; flex: 0 0 91%;"><section style="padding: 15px; background-color: #ffffff;"><section><p style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px;">2024年，资阳市人民医院先后派出儿科和麻醉专业医疗学科带头人、医疗护理骨干到四川省人民医院、成都市妇女儿童中心医院和四川省妇幼保健院进修培训，掌握了儿童纤维支气管镜喉罩全麻和纤支镜操作、治疗技术。医院大力支持，购买了新型儿童纤维支气管镜操作平台。</span></p></section><section><section style="margin: 10px auto; padding-top: 10px; padding-bottom: 10px; display: flex; flex-direction: column;"><section style="margin-left: auto; width: 446.375px; display: flex;"><section style="flex-shrink: 0;"><section style="margin-top: -10px; margin-right: 15px; width: 10px; border-right: 1px solid #114c99; height: 130.734px; overflow: hidden;"></section></section><section style="width: 421.375px;"><section style="display: flex; justify-content: flex-start;"><section style="margin-bottom: 10px; margin-left: -25px; width: 210.688px; border-top: 1px solid #114c99; height: 1px; overflow: hidden;"></section></section><section style="width: 421.375px;"><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 421.375px; display: block; height: auto !important;" src="https://pic.app.jiuquhe.com/FpHob06zfM_YS2BXv_N8ZBlAmS3H" /></section></section></section><section style="margin-top: -40px; margin-bottom: 20px; display: flex; justify-content: flex-start; z-index: 5;"><section style="display: inline-block;"><section style="padding: 4px 10px; background-color: #deeefc; border: 1px solid #114c99;"><section style="font-size: 16px; color: #114c99; text-align: left;"><strong>多学科会诊现场</strong></section></section><section style="margin-top: -2px; padding-right: 16px;"><section style="margin-left: auto; width: 12px;"></section></section></section></section><section style="line-height: 1.6em; text-indent: 2em;"><section style="width: 446.375px; display: flex;"><section style="width: 446.375px; height: 0px;"></section></section></section></section></section><section><p style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px;">患儿5岁，因肺部严重感染实变导致痰液阻塞，传统治疗起效慢，治疗周期长，需行局部治疗及留取灌洗液寻找感染源。</span></p><p style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px;"> </span></p><p style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px;">医院迅速启动多学科会诊机制，儿科联合麻醉科、重症监护室、呼吸内科专家及护理团队，对患儿病情进行全面评估，为消除患儿恐惧与不安情绪，在安全舒适中完成操作，制定了万无一失的麻醉及治疗方案，</span><strong style="font-size: 16px; text-indent: 2em; caret-color: var(--weui-BRAND);"><span style="color: #ff4c00; text-indent: 2em;">团队决定采用喉罩全麻舒适化下纤维支气管镜肺灌洗治疗。这一决策既确保手术无痛、无记忆的舒适化体验，又通过精准操作降低风险。</span></strong></p></section></section></section><section style="margin-bottom: 0px; z-index: 1;"><section style="margin-top: -4px; margin-left: auto; width: 184.953px; flex: 0 0 32%; border-style: solid; border-width: 10px 0px 0px; border-color: #114c99; border-top-right-radius: 0px; border-top-left-radius: 0px; transform-origin: center center; transform: translateX(-20px);"><section><p style="text-align: center;"> </p></section></section></section></section><section style="line-height: 27.2px;"><section style="margin-bottom: 0px; letter-spacing: 0.578px;"><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="padding-top: 5px; padding-bottom: 5px; background-image: url('https://pic.app.jiuquhe.com/FjOhEW7GWOTXFq_3Nt1NSOToSDr2'); background-repeat: no-repeat; background-position: center top; background-size: cover;"><section style="padding-right: 5px; padding-left: 5px; text-align: center; border: 1px solid #033fce;"><strong><span style="color: #033fce; font-size: 16px; letter-spacing: 0.578px; text-decoration: none solid #033fce;">‌技术突破，从“谈镜色变”到“无痛无忧”</span></strong></section></section></section></section><section style="margin-right: auto; margin-bottom: 0px; margin-left: auto; letter-spacing: 0.578px; width: 525.977px; flex: 0 0 91%;"><section style="padding: 15px; background-color: #ffffff;"><section><section style="margin-bottom: 0px;"><section style="text-align: center;"><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 496px; height: auto !important;" src="https://pic.app.jiuquhe.com/FsAxB4LuoYPdNFl1oTFf59z0KBhd" alt="" /><span style="color: #114c99; font-size: 14px; letter-spacing: 1.5px; text-indent: 2em; text-align: right;">期待更多儿童在舒适化医疗中重获健康笑容</span></section><section style="text-align: right;"><span style="color: #114c99; font-size: 14px; letter-spacing: 1.5px; text-indent: 2em; text-align: right;"> </span></section></section><section style="margin-bottom: 0px;"><p style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px;"><span style="font-size: 16px; color: #114c99; letter-spacing: 1.5px; text-decoration: none;">操作中，麻醉团队凭借丰富的危重病例处理经验，为患儿实施精准麻醉管理。儿科熟练使用电子纤维支气管镜设备，高效完成肺部痰液清除及肺泡灌洗治疗，儿科及手术室护理团队全程监测生命体征，保障手术安全。</span><strong><span style="font-size: 16px; letter-spacing: 1.5px; text-decoration: none; color: #ff4c00;">整个操作历时20分钟，患儿于操作结束后迅速苏醒，安返病房，当日即可进食活动。</span></strong></span></p></section></section><section><section style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; line-height: 1.6em; text-indent: 2em;"></section></section></section></section><section style="margin-bottom: 0px; letter-spacing: 0.578px; z-index: 1;"><section style="margin-top: -4px; margin-left: auto; width: 184.953px; flex: 0 0 32%; border-style: solid; border-width: 10px 0px 0px; border-color: #114c99; border-top-right-radius: 0px; border-top-left-radius: 0px; transform-origin: center center; transform: translateX(-20px);"></section></section></section><section style="line-height: 27.2px;"><section style="margin-bottom: 0px; letter-spacing: 0.578px;"><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="padding-top: 5px; padding-bottom: 5px; background-image: url('https://pic.app.jiuquhe.com/FjOhEW7GWOTXFq_3Nt1NSOToSDr2'); background-repeat: no-repeat; background-position: center top; background-size: cover;"><section style="padding-right: 5px; padding-left: 5px; text-align: center; border: 1px solid #033fce;"><strong><span style="color: #033fce; font-size: 16px; letter-spacing: 0.578px; text-decoration-style: solid; text-decoration-color: #033fce;">以患者为中心，提升区域诊疗能力<br /></span></strong></section></section></section></section><section style="margin-right: auto; margin-bottom: 0px; margin-left: auto; letter-spacing: 0.578px; width: 525.977px; flex: 0 0 91%;"><section style="padding: 15px; background-color: #ffffff;"><section><section><p style="text-align: center;"><img class="rich_pages wxw-img" style="width: 100%; height: auto !important;" src="https://pic.app.jiuquhe.com/FiQYcM-oUlel7KfLX_YkJqhBgUEI" /></p><section style="text-align: center; line-height: normal;"></section></section><p style="text-indent: 2em; line-height: 1.6em;"><span style="color: #114c99; font-size: 16px; letter-spacing: 1.5px; text-decoration: none solid #114c99;">资阳市人民医院儿科作为市级重点专科及四川省人民医院儿科联盟单位‌、儿童罕见病专科联盟单位，近年来持续深化多学科协作模式，尤其在危重患儿救治中积累了丰富经验。此项技术的成功实施，不仅体现了医院在呼吸介入技术、舒适化医疗领域的综合实力，也为复杂儿童呼吸道疾病的治疗提供了新范式‌。</span></p><p style="text-align: center;"><img class="rich_pages wxw-img" style="width: 100%; height: auto !important;" src="https://pic.app.jiuquhe.com/Fr4_c8CufJhIrysUK69pRqgetr2P" /></p><p style="text-indent: 2em;"> </p></section><p style="text-indent: 2em; line-height: 1.6em; margin-top: 0px;"><span style="color: #114c99; font-size: 16px; letter-spacing: 1.5px; text-decoration: none solid #114c99;">未来，资阳市人民医院将依托市级重点专科和四川省人民医院专科联盟资源，进一步推广舒适化医疗技术，推动区域儿科诊疗水平迈向更高台阶，为资阳地区儿童的健康成长保驾护航。</span></p><p style="text-indent: 2em;"> </p><section style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; line-height: 1.6em; text-indent: 2em;"></section><section><section style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; line-height: 1.6em; text-indent: 2em;"></section></section></section></section><section style="margin-bottom: 0px; letter-spacing: 0.578px; z-index: 1;"><section style="margin-top: -4px; margin-left: auto; width: 184.953px; flex: 0 0 32%; border-style: solid; border-width: 10px 0px 0px; border-color: #114c99; border-top-right-radius: 0px; border-top-left-radius: 0px; transform-origin: center center; transform: translateX(-20px);"></section></section></section><section style="line-height: 27.2px;"><section style="margin-bottom: 0px;"><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="display: flex; align-items: center;"><section style="flex-shrink: 0; display: flex; align-items: center;"><section style="width: 20px; height: 20px; background-image: linear-gradient(to right top, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section><section style="margin-left: -10px; width: 20px; height: 20px; background-image: linear-gradient(to right top, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section></section><section style="padding: 5px 15px; border-radius: 0px 15px; background-image: linear-gradient(116deg, #08a9d1, #114c99);"><section style="font-size: 18px; color: #ffffff; text-align: left;"><span style="letter-spacing: 5px;"><strong>科室技术骨干介绍</strong></span></section></section><section style="flex-shrink: 0; display: flex; align-items: center;"><section style="width: 20px; height: 20px; background-image: linear-gradient(to left bottom, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section><section style="margin-left: -10px; width: 20px; height: 20px; background-image: linear-gradient(to left bottom, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section></section></section></section></section><section style="margin-bottom: 0px; line-height: 27.2px;"><section><p style="text-align: center;"> </p><p style="text-align: center;"><img class="rich_pages wxw-img" style="width: 123px; height: auto !important;" src="https://pic.app.jiuquhe.com/FmHcBxSOHU-XDOpxUXUqoCQPd9ZH" /></p><p style="text-align: center;"> </p><section style="color: #333333; font-size: 14px; letter-spacing: 1.5px; background-color: #f5f8fb;"><section style="display: flex; justify-content: flex-start; align-items: center;"><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong>崔祎 </strong>| 主任医师 儿科学科主任</section></section><section style="margin-top: 5px; margin-bottom: 5px; width: 291.513px; height: 1px; background: linear-gradient(to right, #a5d1fe, #f6faff);"></section></section><p style="color: #333333; font-size: 14px; letter-spacing: 1.5px; text-indent: 0em; background-color: #f5f8fb; line-height: normal;"><strong><span style="font-size: 12px; text-indent: 0em; color: #0052ff;">专业特长：</span></strong></p><section style="color: #333333; font-size: 14px; letter-spacing: 1.5px; background-color: #f5f8fb; line-height: normal; text-indent: 2em;"><span style="font-size: 12px; text-indent: 0em;">从事儿科临床工作30余年，擅长儿童危重症的抢救及新生儿疾病的治疗。尤其对儿童呼吸道疾病如儿童慢性咳嗽、哮喘，儿童难治性肺炎、重症肺炎的治疗，有丰富的临床治疗及救治经验。儿童川崎病、过敏性紫癜、幼年累风湿性关节炎等血管炎类疾病，肾炎、肾病综合征，儿童慢性腹泻，儿童各类感染性疾病的诊疗，儿童惊厥、中毒、溶血性疾病的救治等亦有较高的诊疗水平。</span></section></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><strong><span style="font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333; color: #0052ff;">学术任职：</span></strong><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;">资阳市第六批学术技术带头人</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;"> 中国优生学会感染和传染病学组委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;"> 四川省医学会儿科专委会委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;"> 四川省医学会儿科专委会消化学组、呼吸学组委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;"> 四川省优生托育协会儿童呼吸分会常务委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;"> 四川省儿童肺功能质控中心委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;"> 资阳市医学会儿科专委会主任委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;"> 资阳市儿科质控分中心副主任委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><strong><span style="font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333; color: #0052ff;">学术成就：</span></strong></section><p style="line-height: normal; text-align: justify; margin: 0px; text-indent: 2em;"><span style="color: #333333; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #333333;">带领团队参与完成了国家级科研项目1项，四川省级科研项目6项，资阳市级科研项目2项，并获得科研技术进步三等奖1项。完成了儿童肺功能检测临床应用，儿童无创、有创呼吸机重症临床应用，儿童纤维支气管镜技术，儿童过敏性疾病免疫治疗、儿童生长发育、内分泌（肥胖）精准治疗、儿童中西医融合技术的临床运用等多项新技术的引进与推广。完成核心期刊论文近10篇。"</span></p><section><p style="text-align: center;"> </p><p style="text-align: center;"> </p><p style="text-align: center;"><img class="rich_pages wxw-img" style="width: 151px; height: auto !important;" src="https://pic.app.jiuquhe.com/FrfEbtsIxBcl2PAFtt_shPgXB259" /></p><p style="text-align: center;"> </p><section style="line-height: normal;"></section><section style="color: #333333; font-size: 14px; letter-spacing: 1.5px; background-color: #f5f8fb;"><section style="display: flex; justify-content: flex-start; align-items: center;"><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong>谢桃红 </strong>| 副主任医师 儿科副主任</section></section><section style="margin-top: 5px; margin-bottom: 5px; width: 291.513px; height: 1px; background: linear-gradient(to right, #a5d1fe, #f6faff);"></section></section><section style="color: #333333; font-size: 14px; letter-spacing: 1.5px; background-color: #f5f8fb; vertical-align: middle; line-height: normal;"></section></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><strong><span style="font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000; color: #0052ff;">专业特长：</span></strong><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"><br /></span></section><p style="line-height: normal; text-align: justify; margin: 0px; text-indent: 2em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;">从业20余年，曾先后在重庆医科大学附属儿童医院、成都市妇女儿童中心医院，四川省人民医院进修。擅长儿童危急重症及少见病的识别与救治，尤其在小儿慢性咳嗽、哮喘、鼻炎、慢性腹泻及营养、川崎病、传染性单核细胞增多症、小儿喂养不耐受、新生儿疾病、儿童保健、青少年心理等方向有深入研究。</span></p><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><strong><span style="font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000; color: #0052ff;">学术任职：</span></strong><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;">现任四川省生物信息学会智慧儿科分会常务委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"> 四川省医学会儿科学分会青年委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"> 四川省医师协会第三届儿童重症医学分会委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"> 四川省医学会儿科分会风湿免疫学组第一届委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"> 四川省妇幼保健协会儿科分会委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"> 四川省医学传播学会第一届儿童夜遗尿疾病专业委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"> 成都市高新区医学会儿科学分会及心血管分会委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;"> 资阳市医学会儿科专委会委员</span></section><section style="line-height: normal; text-align: justify; margin: 0px; text-indent: 0em;"><strong><span style="font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000; color: #0052ff;">学术成就：</span></strong></section><p style="line-height: normal; text-align: justify; margin: 0px; text-indent: 2em;"><span style="color: #000000; font-size: 12px; letter-spacing: 1.5px; text-decoration: none solid #000000;">著作2部，发表论文10余篇，核心期刊2篇。参与省、市级科研多项，多次获优秀共产党员、优秀医师，质量管理明星等荣誉称号。在成都市青白江区第二届“同城杯”疾控技能大赛获二等奖。</span></p><section><section style="color: #333333; font-size: 14px; letter-spacing: 1.5px; background-color: #f5f8fb; vertical-align: middle; line-height: normal;"></section><section style="line-height: normal;"></section><p style="text-align: center;"> </p><p style="text-align: center;"><img class="rich_pages wxw-img" style="width: 112px; height: auto !important;" src="https://pic.app.jiuquhe.com/FqGQhwDuHkSbgeigqNAALMnlpvj1" /></p><section style="line-height: normal; text-align: center;"></section></section><section style="margin-bottom: 0px;"><section style="margin: 10px auto;"><section style="background-color: #f5f8fb;"><section style="display: flex; justify-content: space-between; align-items: center;"><section style="width: 291.513px;"><section style="line-height: normal;"></section></section></section></section></section></section><section style="margin-bottom: 0px;"><section style="color: #333333; font-size: 14px; letter-spacing: 1.5px; background-color: #f5f8fb;"><section style="display: flex; justify-content: flex-start; align-items: center;"><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong> </strong></section><section style="text-align: left; color: #1e69ce;"><strong>廖昌杰 </strong>| 儿科主治医师 </section></section><section style="margin-top: 5px; margin-bottom: 5px; width: 291.513px; height: 1px; background: linear-gradient(to right, #a5d1fe, #f6faff);"></section></section><p><strong><span style="font-size: 12px; color: #0052ff;">专业特长：</span></strong></p><section style="text-indent: 2em;"><span style="font-size: 12px;">毕业于西南医科大学临床医学系，从事儿科临床工作近10年，2017年—2020年于成都市妇女儿童中心医院儿科专科规范化培训三年；2023年于成都市妇女儿童中心医院进修儿童纤维支气管镜半年；2024年于华西附二院参加院士+儿童重症培训3月。<span style="font-size: 12px; letter-spacing: 0.578px;">擅长儿科各类常见病的诊治，致力于儿童呼吸及重症方向的研究与诊治。</span></span></section><p><strong><span style="font-size: 12px;"><span style="font-size: 12px; color: #0052ff;">学术任职：</span></span></strong></p><section style="text-indent: 2em;"><span style="font-size: 12px;">现任四川省儿童早期发展与健康科学研究会呼吸系统发育与疾病防治专委会委员</span></section><p> </p><section style="color: #333333; font-size: 14px; letter-spacing: 1.5px; background-color: #f5f8fb; vertical-align: middle; line-height: normal;"></section></section><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="display: flex; align-items: center;"><section style="flex-shrink: 0; display: flex; align-items: center;"><section style="width: 20px; height: 20px; background-image: linear-gradient(to right top, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section><section style="margin-left: -10px; width: 20px; height: 20px; background-image: linear-gradient(to right top, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section></section><section style="padding: 5px 15px; border-radius: 0px 15px; background-image: linear-gradient(116deg, #08a9d1, #114c99);"><section style="font-size: 18px; color: #ffffff; text-align: left;"><span style="letter-spacing: 5px;"><strong>知识小课堂</strong></span></section></section><section style="flex-shrink: 0; display: flex; align-items: center;"><section style="width: 20px; height: 20px; background-image: linear-gradient(to left bottom, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section><section style="margin-left: -10px; width: 20px; height: 20px; background-image: linear-gradient(to left bottom, #114c99, transparent 50%); background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; overflow: hidden; transform: rotate(45deg);"></section></section></section></section></section><section style="margin-bottom: 0px; z-index: 1;"><section style="margin-right: auto; margin-bottom: -4px; margin-left: 20px; width: 184.953px; flex: 0 0 32%; border-style: solid; border-width: 0px 0px 10px; border-color: #114c99; border-bottom-right-radius: 0px; border-bottom-left-radius: 0px;"><p style="line-height: 27.2px;"> </p></section></section><section style="margin-right: auto; margin-bottom: 0px; margin-left: auto; width: 525.977px; flex: 0 0 91%;"><section style="padding: 15px; background-color: #ffffff;"><section style="height: 0px;"></section><section><section><p> </p><p style="text-align: center;"><img class="rich_pages wxw-img" style="width: 180px; height: auto !important;" src="https://pic.app.jiuquhe.com/FgOOqVUgsvMDU-sIZDmO9OWhQOGD" alt="图片" /></p><p> </p></section><section><section style="margin: 10px auto;"><section><section style="display: flex; justify-content: flex-start;"><section style="flex-shrink: 0;"><section style="font-size: 16px; letter-spacing: 1.5px; color: #ffffff; background-color: #114c99; width: 35px; height: 35px; display: flex; justify-content: center; align-items: center; border-radius: 100%;"><strong>0</strong><strong>1</strong></section></section><section style="display: flex; align-items: center;"><section style="padding-right: 5px; padding-left: 5px; font-size: 16px; color: #114c99; text-align: center; border-bottom: 1px dashed #114c99; line-height: 1.75em;"><strong><span style="letter-spacing: 0.578px; text-decoration-style: solid; text-decoration-color: #114c99;">支气管肺泡灌洗术（BAL）</span></strong><section></section></section></section><section style="margin-top: -5px; flex-shrink: 0;"><section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section><section style="height: 4px; width: 16px; background-color: #08a9d1; overflow: hidden;"></section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section></section></section></section><section style="margin-top: 10px; margin-bottom: 20px; padding: 15px; background-color: #f5f9fc;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px;">支气管肺泡灌洗术（BAL） 是指通过支气管镜向支气管肺泡内注入0.9%氯化钠溶液并进行抽吸，收集肺泡表面液体（诊断性） 及清除充填于肺泡内的物质 （治疗性）， 进行炎症与免疫细胞及可溶性物质的检查，达到明确诊断和治疗目的的技术。自 1974年Reynolds和 Newball将软式支气管镜作为一种研究工具提出，BAL 迅速获得认可，大量医疗中心使用该技术 。随着呼吸内镜技术的推广，儿童 BAL 在呼 吸系统疾病中应用越来越广泛。支气管肺泡灌洗 液可进行多种实验室检查，使得儿童呼吸系统疾病的诊断更加容易，同时 BAL 不仅仅局限于检查及诊断方面，其在治疗方面也发挥着重要作用，因此具有非常 重要的临床实践意义。</span></section></section></section></section><section><section style="display: flex; justify-content: flex-start;"><section style="flex-shrink: 0;"><section style="font-size: 16px; letter-spacing: 1.5px; color: #ffffff; background-color: #114c99; width: 35px; height: 35px; display: flex; justify-content: center; align-items: center; border-radius: 100%;"><strong>0</strong><strong>2</strong></section></section><section style="display: flex; align-items: center;"><section style="padding-right: 5px; padding-left: 5px; font-size: 16px; color: #114c99; text-align: center; border-bottom: 1px dashed #114c99; line-height: 1.75em;"><strong><span style="letter-spacing: 0.578px; text-decoration-style: solid; text-decoration-color: #114c99;">适应证</span></strong><section></section></section></section><section style="margin-top: -5px; flex-shrink: 0;"><section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section><section style="height: 4px; width: 16px; background-color: #08a9d1; overflow: hidden;"></section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section></section></section></section><section style="margin-top: 10px; margin-bottom: 20px; padding: 15px; background-color: #f5f9fc;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><p style="line-height: 1.6em; text-indent: 2em;"> </p><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">儿童BAL主要用于诊断、治疗和研究应用，对微生物和/或细胞成分进行检测，其适应证包括：</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;"> </span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（1） 肺部感染性疾病的病原诊断；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（2） 下呼吸道内生性异物的清除；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（3） 非感染性肺部疾病的诊断及治疗；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（4） 免疫缺陷儿童肺部弥漫性或局限性浸润的病原诊断 。</span></section></section></section></section><section><section style="display: flex; justify-content: flex-start;"><section style="flex-shrink: 0;"><section style="font-size: 16px; letter-spacing: 1.5px; color: #ffffff; background-color: #114c99; width: 35px; height: 35px; display: flex; justify-content: center; align-items: center; border-radius: 100%;"><strong>0</strong><strong>3</strong></section></section><section style="display: flex; align-items: center;"><section style="padding-right: 5px; padding-left: 5px; font-size: 16px; color: #114c99; text-align: center; border-bottom: 1px dashed #114c99; line-height: 1.75em;"><section><strong>禁忌症</strong></section></section></section><section style="margin-top: -5px; flex-shrink: 0;"><section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section><section style="height: 4px; width: 16px; background-color: #08a9d1; overflow: hidden;"></section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section></section></section></section><section style="margin-top: 10px; margin-bottom: 20px; padding: 15px; background-color: #f5f9fc;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><p style="text-indent: 2em; line-height: 1.6em;"> </p><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">禁忌证多取决于术者的技术水平和必要的设备条件，其相对禁忌证包括：</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;"> </span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（1） 父母或监护人拒绝签署知情同意书；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（2） 严重心肺功能减退者；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（3） 严重心律失常，如心房颤动、心室颤动、心房扑动、心室扑动、Ⅲ度房室传导阻滞；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（4） 高热，如持续高热而又亟需行支气管镜检查者，可将其体温降至38.5℃以下再行手术，以防高热惊厥；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（5）活动性大咯血者、严重的出血性疾病、凝血功能障碍、严 重的肺动脉高压及可能诱发大咯血者等；</span></section><section style="color: #114c99; line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">（6）严重营养不良、不能耐受手术者（GPS）。</span></section><p style="text-indent: 2em; line-height: 1.6em;"> </p></section></section></section></section></section></section><section><section><section style="margin: 10px auto; display: flex; align-items: center;"><section style="margin-left: -124.484px; width: 297.586px;"><strong style="color: #ffffff; font-size: 16px; letter-spacing: 1.5px; display: inline !important;">2</strong></section></section></section></section><section><section style="margin-top: 4px; margin-bottom: 4px; letter-spacing: 1.5px; color: #114c99; font-size: 14px; line-height: 2.29em;"><section style="letter-spacing: 0.578px;"><section style="margin: 10px auto;"><section><section style="display: flex; justify-content: flex-start;"><section style="flex-shrink: 0;"><section style="font-size: 16px; letter-spacing: 1.5px; color: #ffffff; background-color: #114c99; width: 35px; height: 35px; display: flex; justify-content: center; align-items: center; border-radius: 100%;"><strong>0</strong><strong>4</strong></section></section><section style="display: flex; align-items: center;"><section style="padding-right: 5px; padding-left: 5px; font-size: 16px; text-align: center; border-bottom: 1px dashed #114c99; line-height: 1.75em;"><strong>麻醉方式的选择</strong></section></section><section style="margin-top: -5px; flex-shrink: 0;"><section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section><section style="height: 4px; width: 16px; background-color: #08a9d1; overflow: hidden;"></section><section style="margin-right: auto; margin-left: auto; width: 4px; height: 6px; background-color: #08a9d1; overflow: hidden;"></section></section></section></section><section style="margin-top: 10px; margin-bottom: 20px; padding: 15px; background-color: #f5f9fc;"><section style="line-height: 1.75em; letter-spacing: 1.5px; color: #333333; background-color: transparent;"><p style="text-indent: 2em; line-height: 1.6em;"> </p><section style="color: #114c99; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">儿童BAL优先考虑的麻醉方式为喉罩通气全麻。在儿童 BAL 中，为了优化患儿的舒适度，表面麻醉应作为其他麻醉方式的辅助部分。选择合适的麻醉方式对于BAL 的顺利实施至关重要，麻醉的目的应使患儿在检查过程中舒适，保持血流动力学稳定及足够的气体交换。</span></section><section style="color: #114c99; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;"> </span></section><section style="color: #114c99; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">随着内镜技术的日益普及和不断推广，如何改善检查过程中患儿的耐受度和舒适度已成为备受关注的热点和焦点问题。目前临床常用的麻醉方式有以下几种。表面麻醉是优化患儿舒适度的一个重要组成部分。</span></section><section style="color: #114c99; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;"> </span></section><section style="color: #114c99; text-indent: 2em; line-height: 1.6em;"><span style="font-size: 16px; text-decoration-style: solid; text-decoration-color: #114c99;">在BAL中，表面麻醉未单独应用，大多需要联合其他麻醉方式。全麻是确保儿童气道安全的最佳方法，一方面可确保患儿在检查过程中的舒适度和耐受度，另一方面患儿在麻醉医师的密切监测下，可及时发现相关并发症。</span></section><p style="text-indent: 2em; line-height: 1.6em;"> </p></section></section></section></section></section></section></section></section></section><section style="margin-bottom: 0px; z-index: 1;"><section style="margin-top: -4px; margin-left: auto; width: 184.953px; flex: 0 0 32%; border-style: solid; border-width: 10px 0px 0px; border-color: #114c99; border-top-right-radius: 0px; border-top-left-radius: 0px; transform-origin: center center; transform: translateX(-20px);"><section><p> </p></section></section></section></section></section></section></section></section></section><p class="empty_paragraph" style="text-align: center;"><img class="rich_pages wxw-img" style="height: auto !important;" src="https://pic.app.jiuquhe.com/Fv-m0kcxCjZlxBI9_EiS5O7Vw4kS" /></p><section class="js_darkmode__51" style="-webkit-tap-highlight-color: transparent; margin-bottom: unset; outline: 0px; background-color: #ffffff; font-family: PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.578px; color: #a3a3a3 !important;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.578px;"><section class="js_darkmode__64" style="-webkit-tap-highlight-color: transparent; padding: 5px 15px; outline: 0px; letter-spacing: 0.544px; border-radius: 0px 15px; background-color: #48a1fe; color: #191919 !important;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 16px; color: #ffffff; text-align: left;"><strong style="-webkit-tap-highlight-color: transparent; outline: 0px;">咨询电话</strong></section></section><p style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; text-align: center;"> </p><p style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; text-align: center;"><img class="rich_pages wxw-img" style="-webkit-tap-highlight-color: transparent; outline: 0px; border-radius: 8px; background-size: 16px !important; visibility: visible !important; width: 561.945px !important; height: auto !important;" src="https://pic.app.jiuquhe.com/FlDX5FyL4lwrhwhtUJCQC1-tUGBI" alt="图片" /></p><p style="-webkit-tap-highlight-color: transparent; outline: 0px;"> </p><section style="-webkit-tap-highlight-color: transparent; outline: 0px;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; display: flex; justify-content: flex-end;"><section style="-webkit-tap-highlight-color: transparent; margin-left: 1em; outline: 0px;"><section class="js_darkmode__70 empty_paragraph" style="-webkit-tap-highlight-color: transparent; outline: 0px; color: #333333; font-size: 12px; text-align: center;"></section></section></section></section></section></section></section><p style="display: none;"> </p> <!----></div> 科技越来越好了 给这些老师点赞
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