Clark C J, Reid W H, Telfer A B, Campbell D
Anaesthesia. 1983 Jan;38(1):35-9. doi: 10.1111/j.1365-2044.1983.tb10370.x.
The purpose of the study was to investigate the role of flexible bronchoscopy in the management of patients admitted to a busy Regional burns unit, with particular reference to possible smoke inhalation injury. The basic procedure employed was that used in routine bronchoscopy for the diagnosis of bronchial carcinoma, with modification of the premedication required in view of the shorter duration of the technique and the lack of a requirement for bronchial biopsy. We have found the procedure easy to perform, well tolerated by the patients and not associated with any complications. It provides additional information not otherwise available, which can influence the subsequent management of the patient. An experienced bronchoscopist and additional personnel skilled in resuscitation techniques are required. It should be performed in patients with clear evidence of smoke inhalation injury and in particular with facial burns in order to visualise the extent of airway injury, remove debris and give some indication of the likelihood of subsequent complications such as acute upper airways obstruction.
本研究的目的是调查可弯曲支气管镜在繁忙的地区烧伤病房收治患者的管理中的作用，特别是对于可能的烟雾吸入性损伤。所采用的基本操作程序是用于诊断支气管癌的常规支气管镜检查程序，并鉴于该技术操作时间较短且无需进行支气管活检，对术前用药进行了调整。我们发现该操作易于执行，患者耐受性良好，且未出现任何并发症。它能提供其他方式无法获得的额外信息，从而影响患者的后续治疗。需要一名经验丰富的支气管镜检查医师以及其他具备复苏技术的人员。该操作应在有明确烟雾吸入性损伤证据，尤其是伴有面部烧伤的患者中进行，以便观察气道损伤的程度、清除碎屑，并对后续诸如急性上气道梗阻等并发症的可能性提供一些指示。
