Breuer R, Lossos I S, Lafair J S, Engelhard D
Pulmonary Unit, Hadassah University Hospital, Jerusalem, Israel.
Respir Med. 1990 Jul;84(4):313-6. doi: 10.1016/s0954-6111(08)80059-5.
The efficacy of bronchoscopy with bronchoalveolar lavage for diagnosing 32 episodes of diffuse pulmonary infiltrates was studied in 30 nonAIDS immunocompromised patients. Bronchoalveolar lavage had an overall diagnostic yield of 84% (27 of 32 episodes). Bronchoalveolar lavage was noncontributive in five episodes of pneumonitis: drug induced in one, nonspecific in three and pneumonitis of unestablished etiology in one. Overall, the procedure is safe and did not miss diagnoses for which conventional treatment was available. Our data support the use of bronchoscopy with bronchoalveolar lavage as the primary diagnostic procedure in immunocompromised patients with diffuse pulmonary infiltrates.
对30例非艾滋病免疫功能低下患者进行了研究，以探讨支气管镜检查联合支气管肺泡灌洗术对32例弥漫性肺浸润的诊断效果。支气管肺泡灌洗术的总体诊断率为84%（32例中的27例）。支气管肺泡灌洗术对5例肺炎无诊断价值：1例为药物性肺炎，3例为非特异性肺炎，1例病因未明的肺炎。总体而言，该操作是安全的，未漏诊可采用常规治疗的疾病。我们的数据支持将支气管镜检查联合支气管肺泡灌洗术作为免疫功能低下的弥漫性肺浸润患者的主要诊断方法。
