ABSTRACT
OBJECTIVE: To investigate the significance of flexible bronchoscopy in children with respiratory diseases. METHODS: A retrospective analysis was performed for the clinical data of 80 children who were hospitalized due to respiratory diseases (including severe pneumonia, Mycoplasma pneumoniae pneumonia with atelectasis/lung consolidation/local emphysema, protracted pneumonia, coughing and wheezing of unknown cause, chronic cough of unknown cause, and laryngeal stridor) and who underwent flexible bronchoscopy/alveolar lavage. RESULTS: Bronchoscopy found that all the 80 children had endobronchial inflammation, among whom 28 children had severe airway obstruction by secretion. Twenty-four children had congenital airway dysplasia besides endobronchial inflammation, and three children had bronchial foreign bodies. In the children with coughing and wheezing of unknown cause and laryngeal stridor, some had congenital airway dysplasia or bronchial foreign bodies. Among the 27 children with Mycoplasma pneumoniae pneumonia, 26 had severe airway obstruction/embolization by secretion; 25 children (93%) underwent chest imaging again at 2 weeks after alveolar lavage, and the results showed complete or partial lung recruitment. Among the 80 children who underwent bronchoscopy, 3 had severe hypoxemia during surgery, 1 had epistaxis, 1 had minor bleeding during alveolar lavage, 3 had transient bronchospasm, and 5 had postoperative fever; these children were all improved after symptomatic treatment. CONCLUSIONS: Flexible bronchoscopy is safe and reliable in children with respiratory diseases. Early alveolar lavage under a flexible bronchoscope is recommended for children with severe/refractory Mycoplasma pneumoniae pneumonia to improve prognosis. Flexible bronchoscopy is recommended for children with recurrent coughing and wheezing and persistent laryngeal stridor, in order to directly observe the throat and airway under an endoscope.
Subject(s)
Bronchoscopy/methods , Lung Diseases/diagnosis , Bronchoscopy/adverse effects , Child , Child, Preschool , Cough/diagnosis , Female , Humans , Infant , Male , Pneumonia, Mycoplasma/diagnosis , Respiratory Sounds/diagnosis , Retrospective StudiesABSTRACT
A hydroponic experiment was conducted to study the effects of elevated CO2 on the Cd uptake and root morphology of rice varieties Rongyou-398 (RY) and Yueza-889 (YZ) under different levels of Cd stress. Low levels (5, 10, and 20 micromol x L(-1)) Cd stress increased the biomass of the two rice varieties significantly, while high levels (> 50 micromol x L(-1)) Cd stress was in adverse. Elevated CO2 increased the varieties dry biomass significantly, and increased the stem Cd concentration of YZ but decreased that of RY. Under the stress of 5-200 micromol Cd x L(-1), elevated CO2 increased the proportion of active root length in total root length of YZ but decreased that of RY, which could be one of the main reasons for the difference in the Cd uptake of the two varieties under Cd stress.
