Roach J M, Ripple G, Dillard T A
Department of Medicine, Walter Reed Army Medical Center, Washington, D.C.
Chest. 1992 Feb;101(2):568-9. doi: 10.1378/chest.101.2.568.
Equipment malfunction is a rare complication of flexible fiberoptic bronchoscopy. We report an unusual example of equipment failure resulting in the inadvertent introduction of a foreign body (the tip of a cleaning brush) into the bronchial tree of a patient during FFB. In addition, we review several other cases in which problems have been caused by malfunction of accessory equipment. Careful inspection of all cleaning and biopsy utensils should reduce the chance of iatrogenically introducing a foreign body from the bronchoscope channel into the patient's airway. We suggest that biopsy forceps are the best retrieval instrument to use when the foreign body involved is a brush or a piece of wire.
设备故障是可弯曲纤维支气管镜检查的一种罕见并发症。我们报告了一例不寻常的设备故障案例，在纤维支气管镜检查期间，导致一个异物（清洁刷的尖端）意外进入患者的支气管树。此外，我们回顾了其他几例因附属设备故障而引发问题的案例。仔细检查所有清洁和活检器具应能减少医源性地将异物从支气管镜通道引入患者气道的可能性。我们建议，当涉及的异物是刷子或一段金属丝时，活检钳是最佳的取出工具。
