Ahmad M, Livingston D R, Golish J A, Mehta A C, Wiedemann H P
Chest. 1986 Sep;90(3):403-5. doi: 10.1378/chest.90.3.403.
Fiberoptic bronchoscopy (FOB) is an accepted outpatient procedure, but transbronchial biopsy (TBB) is generally reserved for hospitalized patients. Over a three-year period, we performed fluoroscopically guided TBB in 148 of 688 outpatients undergoing FOB. Following the procedure, fluoroscopy was used to screen for possible pneumothorax in those patients who had had TBB. All patients were observed for one hour and then discharged if stable. Three patients (2.02 percent) were admitted and observed for acute hemoptysis following TBB. Bleeding ceased spontaneously in each. The remaining 145 patients were discharged after one hour of observation. One patient (0.68 percent) required Heimlich tube treatment for a delayed pneumothorax. Our experience indicates a low incidence of delayed complications in patients who are asymptomatic for one hour following TBB. We conclude that patients do not require hospitalization solely for TBB.
纤维支气管镜检查（FOB）是一种被认可的门诊手术，但经支气管活检（TBB）通常仅用于住院患者。在三年的时间里，我们对688例接受FOB的门诊患者中的148例进行了透视引导下的TBB。术后，对接受TBB的患者使用透视检查以筛查可能的气胸。所有患者均观察1小时，若情况稳定则出院。3例患者（2.02%）在TBB后因急性咯血入院观察。每例患者的出血均自行停止。其余145例患者在观察1小时后出院。1例患者（0.68%）因延迟性气胸需要进行海姆利希氏操作法治疗。我们的经验表明，TBB后1小时无症状的患者延迟并发症发生率较低。我们得出结论，患者无需仅因TBB而住院。
