Bhaskar Nutan, Shweihat Yousef R, Bartter Thaddeus
Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
J Intensive Care Med. 2014 Jan-Feb;29(1):43-6. doi: 10.1177/0885066612457340. Epub 2012 Aug 28.
Ultrasound-guided transbronchial needle aspiration using the bronchoscope with a dedicated curvilinear probe has emerged as a primary tool for the investigation of mediastinal pathology. Recently, the utility of this scope has been expanded to include access via the esophagus. In this case series, we describe a role for esophageal ultrasound using the endobronchial ultrasound bronchoscope in the diagnostic evaluation of critically ill/intubated patients with mediastinal disease. Esophageal access with the ultrasound bronchoscope allows the pulmonologist to diagnose mediastinal disease in the intubated patient with minimal risk.
使用带有专用曲线探头的支气管镜进行超声引导下经支气管针吸活检已成为纵隔病变检查的主要工具。最近，该设备的用途已扩展到包括经食管进入。在本病例系列中，我们描述了使用支气管内超声支气管镜进行食管超声检查在危重症/插管患者纵隔疾病诊断评估中的作用。通过超声支气管镜经食管进入可使肺科医生以最小的风险诊断插管患者的纵隔疾病。
