希腊儿童的柔性纤维支气管镜检查
Flexible fiberoptic bronchoscopy in Greek children.
作者信息
Kirvassilis F, Gidaris D, Ventouri M, Zampouri A, Mylona M, Keramidiotis A, Kontakiotis Th, Tsanakas I
机构信息
3 Paediatric Clinic, Hippokratio Hospital, Aristotle University of Thessaloniki, Greece.
1 Paediatric Clinic, Hippokratio Hospital, Aristotle University of Thessaloniki, Greece.
出版信息
Hippokratia. 2011 Oct;15(4):312-5.
BACKGROUND AND AIM
Flexible fiberoptic bronchoscopy (FFB) is one of the most important procedures in paediatric pulmonology. To the best of our knowledge there is no review - audit summarising the experience with FFB in children in Greece. We therefore analysed retrospectively all FFBs performed by the paediatric pulmonology team in our hospital in order to analyse indications for bronchoscopy in our population, explore diagnostic yield for each indication and highlight potential complications. Material - Methods: Three hundred and sixteen (316) diagnostic FFBs performed in 305 children during a six years period were retrospectively analysed.
RESULTS
Seventy five (75) % of bronchoscopies had a meaningful outcome. Diagnostic yield for individual indications ranged from 41% to 91%. Stridor was the most rewarding indication (91%). Fever was the most common side effect (7%). The rest of complications were in small numbers and easily reversible.
CONCLUSIONS
Bronchoscopy is a safe procedure and in our diverse population the overall diagnostic yield was 75%.
背景与目的
可弯曲纤维支气管镜检查（FFB）是儿科肺病学中最重要的检查方法之一。据我们所知，尚无综述性审计总结希腊儿童FFB的经验。因此，我们回顾性分析了我院儿科肺病学团队进行的所有FFB，以分析我们人群中支气管镜检查的适应证，探索每种适应证的诊断率，并突出潜在并发症。材料与方法：回顾性分析了6年间在305例儿童中进行的316例诊断性FFB。
结果
75%的支气管镜检查有有意义的结果。各适应证的诊断率在41%至91%之间。喘鸣是最有价值的适应证（91%）。发热是最常见的副作用（7%）。其余并发症数量较少且易于逆转。
结论
支气管镜检查是一种安全的检查方法，在我们多样化的人群中，总体诊断率为75%。
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