Aw Darius Kang Lie, Tan Matthew Zhen Wei, Yii Anthony Chau Ang, Ng Dorothy Hui Lin
Department of General Surgery, Singapore General Hospital, Singapore.
Department of Internal Medicine, Singapore General Hospital, Singapore.
Respir Med Case Rep. 2016 Sep 19;19:173-176. doi: 10.1016/j.rmcr.2016.09.004. eCollection 2016.
In the last twenty years, the field of bronchoscopy has become increasingly more complex and invasive. It is now widely used in the management of pulmonary diseases and has the benefit of low mortality and complication rates. Overall incidence of complications and mortality reported ranges around 1% and 0.02% respectively. Common complications of bronchoscopy include pulmonary haemorrhage, desaturation, pneumothorax, and pulmonary oedema. However, facial and neck petechiae associated with subcutaneous hemorrhage post-bronchoscopy has not been reported before in the literature. We hereby report two novel cases of facial/neck petechiae post-bronchoscopy as a complication to be recognized by bronchoscopists. It is essential that bronchoscopists recognise such phenomenon as the clinical presentation is visually alarming to both the patient and clinician. It is usually self-resolving. However such presentation after bronchoscopy may trigger extensive and unnecessary investigations from the physician.
在过去的二十年里，支气管镜检查领域变得越来越复杂且具有侵入性。它现在广泛应用于肺部疾病的管理，且具有低死亡率和并发症发生率的优势。报告的并发症和死亡率总体发生率分别约为1%和0.02%。支气管镜检查的常见并发症包括肺出血、血氧饱和度降低、气胸和肺水肿。然而，文献中此前尚未报道过支气管镜检查后与皮下出血相关的面部和颈部瘀点。我们在此报告两例支气管镜检查后出现面部/颈部瘀点的新病例，作为一种支气管镜检查医生应认识到的并发症。支气管镜检查医生必须认识到这种现象，因为其临床表现对患者和临床医生在视觉上都会造成惊吓。它通常会自行消退。然而，支气管镜检查后出现这种表现可能会引发医生进行广泛且不必要的检查。
