Krueger J J, Sayre V A, Karetzky M S
UMDNJ-New Jersey Medical School, Newark Beth Israel Medical Center.
Chest. 1988 Aug;94(2):440-1. doi: 10.1378/chest.94.2.440.
Bronchoalveolar lavage (BAL) has not been associated with the complication of pneumothorax. Candidates for this procedure are predisposed to develop pneumothorax due to underlying infectious interstitial emphysema. This risk factor is increased by the hyperbaric consequences of lavage and also by the cough induced by bronchoscopic examination. While BAL remains a useful diagnostic procedure, patients should be monitored for occurrence of pneumothorax.
支气管肺泡灌洗(BAL)与气胸并发症并无关联。由于潜在的感染性间质性肺气肿,该操作的候选患者易发生气胸。灌洗的高压后果以及支气管镜检查引发的咳嗽会增加这一风险因素。虽然BAL仍是一种有用的诊断方法,但应对患者进行气胸发生情况的监测。