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[支气管肺泡灌洗术(BAL)——儿童慢性非特异性支气管肺疾病的一种诊断方法。1. 实施与耐受性]

[Bronchoalveolar lavage (BAL)--a diagnostic method in chronic nonspecific bronchopulmonary diseases in childhood. 1. Implementation and tolerance].

作者信息

Hein J, Martens E, Gülzow H U, Breuel K, Rudolph I, Erfurth F

机构信息

Klinik für Kinderheilkunde, Bereiches Medizin der Wilhelm-Pieck-Universität Rostock, DDR.

出版信息

Z Erkr Atmungsorgane. 1988;170(2):127-31.

PMID:3400286
Abstract

While the effectiveness of bronchoalveolar lavage (BAL) in pediatric therapy has been recognized for years, there are hardly any data on its usefulness in diagnosis, its performance and compatibility in childhood. After 123 bronchological investigations including BAL on 118 children in the age of three months through 16 years, with lavage fluid amounts between 40 and 160 ml, febrile reactions occurred in 17 cases (= 13.8%), i.e. no more frequent than in a group of 100 children bronchologically investigated but without BAL. After blood gas analyses, ECG examinations, blood pressure readings the compatibility of BAL turned out to be good in children of every age. Bronchography pictures after BAL were not reduced in quality, atelectasis formation occurred rarely.

摘要

虽然支气管肺泡灌洗(BAL)在儿科治疗中的有效性多年来已得到认可,但关于其在诊断中的作用、在儿童中的操作及耐受性的数据却几乎没有。对118名年龄在3个月至16岁的儿童进行了包括BAL在内的123次支气管学检查,灌洗液体量在40至160毫升之间,17例(=13.8%)出现发热反应,即不比一组未进行BAL的100名接受支气管学检查的儿童更频繁。经过血气分析、心电图检查、血压测量,结果表明BAL在各年龄段儿童中的耐受性良好。BAL后的支气管造影图像质量未降低,肺不张形成很少发生。

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