Perruchoud A, Tschan M, Heitz M, Anderes U, Henchoz L, Herzog H
Schweiz Med Wochenschr. 1982 May 29;112(22):784-9.
1500 bronchoscopies performed in the Department of Pneumology, University of Basle, were analyzed for frequency and severity of complications. 500 patients were investigated by rigid tube in local anesthesia, 500 patients by rigid tube in neuroleptanalgesia and 500 patients by flexible fiberbronchoscope. The rate of complication for all patients was 4.1%, which agrees well with the previously reported complication frequency of 1-11%. The complications were minor in 3.5% of patients, moderate in 0.5% and major in 0.1%. There were no deaths. The incidence of severe complications and deaths was thus lower than in other studies. There was a higher incidence of complications (p less than 0.001) in the group examined with the rigid tube in neuroleptanalgesia, due to the more frequently observed minor complications. The incidence of complications can be reduced by a careful indication for bronchoscopy, adequate yet sparing use of anesthesia, and choice of the right instrument.
对巴塞尔大学肺病科进行的1500例支气管镜检查的并发症发生频率和严重程度进行了分析。500例患者在局部麻醉下接受硬管检查，500例患者在神经安定镇痛下接受硬管检查，500例患者接受纤维支气管镜检查。所有患者的并发症发生率为4.1%，与先前报道的1%-11%的并发症发生率相当吻合。3.5%的患者并发症为轻度，0.5%为中度，0.1%为重度。无死亡病例。因此，严重并发症和死亡的发生率低于其他研究。在神经安定镇痛下接受硬管检查的组中，并发症发生率较高（p<0.001），这是由于较频繁观察到轻度并发症。通过仔细掌握支气管镜检查的适应证、适度且谨慎地使用麻醉以及选择合适的器械，可以降低并发症的发生率。
