Escribano Montaner A, Moreno Galdó A
Hospital Clínico Universitario, Universidad de Valencia, España.
An Pediatr (Barc). 2005 Apr;62(4):352-66. doi: 10.1157/13073249.
This article completes previous recommendations of the Techniques Group of the Spanish Society of Pediatric Pulmonologists on the practice of flexible bronchoscopy in children. We review the most frequently performed diagnostic and therapeutic procedures applied through the flexible bronchoscope: bronchoalveolar lavage, bronchial biopsy and transbronchial biopsy. Recommendations are also provided on the practice of nonbronchoscopic bronchoalveolar lavage. We review the indications and contraindications of these techniques, the equipment required, and the preparation and monitoring of the patient before, during and after the procedure. The complications of these techniques are also discussed. These recommendations may be adopted, modified or rejected according to clinical needs and constraints.
本文完善了西班牙儿科肺科医生协会技术小组此前关于儿童柔性支气管镜检查操作的建议。我们回顾了通过柔性支气管镜最常进行的诊断和治疗程序:支气管肺泡灌洗、支气管活检和经支气管活检。还提供了关于非支气管镜下支气管肺泡灌洗操作的建议。我们回顾了这些技术的适应证和禁忌证、所需设备以及操作前、操作期间和操作后对患者的准备和监测。还讨论了这些技术的并发症。这些建议可根据临床需求和限制条件予以采用、修改或摒弃。