Pedersen B, Dahl R
Ugeskr Laeger. 1989 Nov 27;151(48):3229-32.
Fiber bronchoscopy under local anaesthesia is an examination procedure frequently employed in the remainder of Scandinavia, Europe and USA. It requires only few resources and the costs are considerably less than fiber bronchoscopy under general anaesthesia. Bronchoalveolar lavage (BAL) in connection with fiber bronchoscopy is rapidly undertaken but analysis of the material obtained requires considerable time. A method of induction of local anaesthesia, performance of BAL and preparation of the washings obtained is described. Fiber bronchoscopy and BAL are considered to be safe examination procedures in patients with mild asthma in a stable phase. The examination is only associated with slight discomfort for the patients, who will frequently accept repeated investigations, and complications are rare. BAL is a valuable examination procedure in research and the results have increased the knowledge of mechanisms in a series of interstitial pulmonary diseases. Future investigations of the humoral and cellular components in BAL fluid in asthmatic patients will contribute to increase knowledge of the pathological mechanisms in asthmatic disease.
局部麻醉下的纤维支气管镜检查是斯堪的纳维亚半岛其他地区、欧洲和美国常用的一种检查方法。它所需资源很少，成本远低于全身麻醉下的纤维支气管镜检查。与纤维支气管镜检查相关的支气管肺泡灌洗（BAL）操作迅速，但对所获材料的分析需要相当长的时间。本文描述了一种局部麻醉诱导、BAL操作及所获灌洗液制备的方法。纤维支气管镜检查和BAL被认为是稳定期轻度哮喘患者的安全检查方法。该检查只会给患者带来轻微不适，患者通常会接受重复检查，且并发症很少见。BAL在研究中是一种有价值的检查方法，其结果增加了对一系列间质性肺疾病发病机制的认识。未来对哮喘患者BAL液中体液和细胞成分的研究将有助于增加对哮喘疾病病理机制的认识。
