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对哮喘患者进行支气管镜检要谨慎,因关系到气道高反应性病人的安全。作者报告了一组哮喘患者纤支镜检查的经验。评价了哮喘患者纤支镜检查、支气管肺泡灌洗和支气管粘膜活检的安全性,并与健康人及特应性非哮喘患者比较,通过测定肺功能的三个生理学指标:FEV、HbO_2sat、气道反应性(PC_(20)乙酰甲胆硷激发试验),提供这一操作安全性的客观评价。共91人进行了纤支镜检查。作者详细分析了哮喘患者20名,健康人8名,特应性非哮喘8名支气管镜检的生理学效应。结果:91人行纤支镜检查,仅一人(系“脆性哮
Bronchoscopy is prudent for asthmatics because of the safety of patients with airway hyperresponsiveness. The authors report on the experience of a group of bronchoscopy patients with asthma. The safety of bronchial bronchoalveolar lavage and bronchial mucosa biopsy was evaluated in asthmatic patients and compared with healthy subjects and atopic non-asthmatic patients by measuring three physiological indices of pulmonary function: FEV, HbO 2sat, airway Reactivity (PC_ (20) methacholine challenge test) provides an objective assessment of the safety of this procedure. A total of 91 people underwent bronchoscopy. The author analyzed in detail 20 patients with asthma, healthy 8, atopic bronchial non-asthma eight physiological effects. Results: 91 people with fiberoptic bronchoscopy, only one person (Department of "brittle asthma