论文部分内容阅读
溯自60年代末期可屈性纤维支气管镜问世以来,有关使用这种器械的并发症的资料非常罕见。Credle等在信访中得知24,000例支气管镜检查并发肺炎者仅两例;Suratt等氏收集48,000例信访资料,死亡12例,严重并发症158例,但未提及属于感染的并发症。Pereira等对100例的研究发现并发实质性炎症浸润者6例,发烧者16例,而其中15例未经抗生素治疗即告痊愈。作者们在1974～1975年一年间却遇见3例并发肺部严重感染的病例:第1例为25岁女性,因囊球菌性肺炎并有胸膜渗出作纤维支气管镜检查,术后4
Since the advent of adductive fiberoptic bronchoscopy in the late 1960s, there has been very little information on the complications associated with the use of such devices. Credle et al. Reported 24,000 cases of bronchoscopy complicated with pneumonia in only two cases. Suratt et al. Collected 48,000 petitions and letters, of whom 12 were dead and 158 were serious complications, but no complication was reported. In a study of 100 patients, Pereira et al. Found that in 6 patients with substantial inflammatory infiltrates and 16 feverish patients, 15 of them were cured without antibiotics. The authors encountered three cases of severe pulmonary infection in the first year of 1974-1975: the first was a 25-year-old woman with cystococcal pneumonia and pleural exudation for bronchoscopy and postoperative 4