Levy M, Glick B, Springer C, Mogle P, Vatashsky E, Drexler H, Godfrey S
Am J Dis Child. 1983 Jan;137(1):14-6. doi: 10.1001/archpedi.1983.02140270010004.
The results of 92 bronchoscopic examinations and 18 bronchograms in infants and children performed during a two-year period were reviewed. Of 62 patients with suspected foreign-body aspiration, the diagnosis was confirmed in 36 (58%); of 18 patients mainly suspected of having congenital anomalies, a positive diagnosis was made in 12 (66%); but of nine patients with lobar atelectasis only two had abnormal findings. In three patients a transbronchial biopsy specimen did not provide diagnostic material. Bronchography for suspected localized bronchiectasis was performed in 11 patients and a positive diagnosis was made in seven. In all seven patients suspected of having congenital anomalies, bronchography provided a definitive diagnosis. There was no mortality and morbidity was minimal but three patients died of their primary disease. Nearly 60% of the investigations yielded abnormal results, but many of the normal findings were of equal clinical value.
回顾了两年期间对婴幼儿进行的92次支气管镜检查和18次支气管造影的结果。在62例疑似异物吸入的患者中，36例（58%）确诊；在18例主要怀疑有先天性异常的患者中，12例（66%）诊断为阳性；但在9例肺叶不张的患者中，只有2例有异常发现。3例患者经支气管活检标本未获得诊断材料。对11例疑似局限性支气管扩张的患者进行了支气管造影，7例诊断为阳性。在所有7例怀疑有先天性异常的患者中，支气管造影提供了明确诊断。无死亡病例，发病率极低，但3例患者死于原发性疾病。近60%的检查结果异常，但许多正常结果也具有同等的临床价值。
