Feller-Kopman David, Ernst Armin
Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
Semin Respir Infect. 2003 Jun;18(2):87-94.
Bronchoscopy with bronchoalveolar lavage (BAL) is a frequently performed, minimally invasive endoscopic examination in patients with unclear infiltrates or pulmonary infections. It can be performed safely in patients with compromised immune systems of different etiologies. This article summarizes the experience with and efficacy of BAL in different disease states in this clinical circumstance. Because human immunodeficiency virus (HIV)-related diseases and acquired immune deficiency syndrome (AIDS) patients show different characteristics when compared with patients with other reasons for immunosuppression, they are discussed separately. Clinical algorithms are presented.
支气管镜检查联合支气管肺泡灌洗（BAL）是对肺部浸润不明确或肺部感染患者经常进行的一种微创内镜检查。它可以在不同病因导致免疫系统受损的患者中安全进行。本文总结了在这种临床情况下BAL在不同疾病状态下的经验和疗效。由于与人类免疫缺陷病毒（HIV）相关疾病和获得性免疫缺陷综合征（AIDS）患者与其他免疫抑制原因的患者相比表现出不同的特征，因此将分别进行讨论。文中还给出了临床算法。
