Pincus P S, Kallenbach J M, Hurwitz M D, Clinton C, Feldman C, Abramowitz J A, Zwi S
Department of Medicine, University of the Witwatersrand, Johannesburg, South Africa.
Crit Care Med. 1987 Dec;15(12):1136-9. doi: 10.1097/00003246-198712000-00013.
The diagnostic yield and risks of transbronchial biopsy (TBB) during mechanical ventilation were assessed in 13 patients with progressive pulmonary infiltrates. TBB was of considerable diagnostic value in ten patients and useful in excluding potentially treatable infections in the remaining three patients. Complications included two pneumothoraces, pulmonary hemorrhage in one case, and supraventricular tachycardia in another. No fatalities were attributable to TBB. TBB proved to be a relatively safe procedure, with a high diagnostic yield in these critically ill patients.
对13例进行性肺部浸润患者在机械通气期间经支气管活检（TBB）的诊断率及风险进行了评估。TBB对10例患者具有显著诊断价值，对其余3例患者有助于排除潜在可治疗的感染。并发症包括2例气胸、1例肺出血和1例室上性心动过速。无死亡病例归因于TBB。TBB在这些重症患者中被证明是一种相对安全的操作，诊断率较高。
