Frankel L R, Smith D W, Lewiston N J
Department of Pediatrics, Stanford University Medical Center, CA 94305.
Pediatrics. 1988 Jun;81(6):785-8.
Seven children with immunocompromised states were referred to the pediatric bronchoscopy service for evaluation of pneumonia. Flexible fiberoptic bronchoscopy accompanied with bronchoalveolar lavage was performed in all seven of these children. A definitive diagnosis was made for six of these seven patients. The diagnosis included Pneumocystis carinii in three, Candida albicans in two, and cytomegalovirus in one. There were no complications associated with the procedure. Flexible fiberoptic bronchoscopy with bronchoalveolar lavage should be considered early in the evaluation of the immunocompromised child with pneumonia.
七名免疫功能低下的儿童因肺炎评估被转诊至儿科支气管镜检查科室。这七名儿童均接受了纤维支气管镜检查及支气管肺泡灌洗。七名患者中有六名得到了明确诊断。诊断结果包括三例卡氏肺孢子虫感染、两例白色念珠菌感染和一例巨细胞病毒感染。该操作未出现并发症。对于免疫功能低下的肺炎患儿，应在评估早期考虑进行纤维支气管镜检查及支气管肺泡灌洗。
