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Objective To explore the effectiveness and safety of fiberbronchoscope combined with cryotherapeatic equipment in treatment of bronchial foreign body in children.Methods 72 children with bronchial foreign body received fiberbronchoscope combined with cryotherapeatic equipment, then the complications were observed during and after the operation.Results Bronchial foreign bodies were successfully removed in all the patients. Among the 72 cases, transient hypoxia was the most common complication during the operation which happened in 37 cases and most occurred in the small age group, and decreased with the age increasing; cough or worsening of cough was the most common complication after the operation which happened in 20 cases; No serious complications were found during the follow-up.Conclusion Although it has some complications when bronchial foreign body received the fiberbronchoscope combined with cryotherapeatic equipment, but the operation time is short, and the complication is mild. It has great application value and security.
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Objective To investigate clinical effect of recombinant human growth hormone (rhGH)for inter-venting central precocious puberty in children,to provide reference for clinical treatment.Methods 80 patients with growth deceleration slows CCP were selected,when height growth rate below 4cm/year,40 patients on the basis of joint GnRHa used rhGH treatment were selected as the observation group,and the remaining 40 patients refused to use rhGH,continued to use of GnRHa treatment were selected as the control group.After treatment predicted height,height,bone age,growth rate and other indicators were compared.Results In observation group,the actual height Ht, predicted height PAH,the growth rate Gv,serum insulin -like growth factor -1 (IGF -1 )after treatment were (1 44.48 ±6.59)cm,(1 54.94 ±4.52)cm,(4.43 ±0.64)cm/6months,(1 32.25 ±8.84)ng/mL,compared to before treatment,the differences were statistically significant (t =6.548,P <0.01 ;t =5.734,P <0.01 ;t =28.869,P <0.01 ;t =20.65,P <0.01 ),compared with the control group,the differences were significant (t =3.943,P <0.01 ;t =4.759,P <0.01 ;t =28.247,P <0.01 ;t =20.882,P <0.01 ),there were no differences in other indices;hor-mones FSH,LH and other indicators of the two groups before and after treatment,and blood sugar,thyroid indicators showed no abnormality.Conclusion Recombinant human growth hormone in the treatment of central precocious puberty deceleration in children does not increase bone age,which will help improve the growth rate and predicted height,which worthy of clinical application.
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Objective To investigate risk factors of the adverse event during the fiberoptic bronchoscopy in children and to give some related nursing strategies. Methods Eighty cases were enrolled from pediatric department of the first people's hospital of hangzhou, who were performed by bronchoscope from July 2012 to July 2015, and were divided into the observation group and the control group according to whether appeared the adverse event, with 40 patients each, then univariate and multivariate Logistic regression analysis were adopted. Results Univariate logistic regression analy-sis showed that age, basic disease and operation time were the risk factors of the adverse event during the fiberoptic bronchoscopy in children. Multivariate logistic regression analysis showed that age(OR:16.628,95%CI:1.688-163.764), basic disease (OR:9.369,95%CI:1.429-61.412), operation time (OR:15.252,95%CI:1.767-131.676), were independent risk factors of the adverse event during the fiberoptic bronchoscopy in children. Conclusion More attention should be paid to the younger patients with underlying diseases and long operation time, and corresponding nursing measures should be applied to reduce the adverse event when performed by bronchoscope.