HAI TRƯỜNG HỢP LÂM SÀNG ĐƯỢC CHẨN ĐOÁN VÀ ĐIỀU TRỊ BỎNG ĐƯỜNG HÔ HẤP Ở TRẺ EM BẰNG RỬA PHẾ QUẢN PHẾ NANG QUA NỘI SOI ỐNG MỀM

Abstract

Pediatric inhalation injury is a rare but severe and life-threatening problem with high mortality if not diagnosed early and managed appropriately. Respiratory burn injuries result from a wide diversity of factors; however, domestic accidents or fires are still a major cause. Early clinical diagnosis, evaluation of its severity, and projection of the development of acute lung injury, supported by flexible bronchoscopic findings and appropriate management through bronchoalveolar lavage procedure, are essential to improve high morbidity and mortality amongst these children. In this article, we report two clinical cases of pediatric inhalational burns  treated at Children's Hospital 1. The first clinical case was a first-degree respiratory burn in a 11-year-old male patient who spilled a gas tank near a burning fire. The second clinical case was a second-degree respiratory burn in an 7-year-old male patient with a house fire. Two diagnoses were confirmed by flexible bronchoscopy. Subsequently, bronchoalveolar lavage was performed as a method of treatment.