Labbé A, Dalens B
Poumon Coeur. 1982;38(4):217-20.
Bronchial fiberscopic examinations were conducted in 51 small babies and infants under general (9 cases) or local (42 cases) anesthesia. Most of those performed under general anesthesia employed the Venturi effect for ventilation through the fiberscope. By using this technical artefact it was usually possible to avoid the use of an intubation catheter and thus to employ most technical procedures (aspiration, biopsy, bronchial brushing). Possible complications of the method are described and the relative indications for fiberscopy as against rigid bronchoscopy discussed. Endoscopy employing flexible and rigid tubes should be complementary examinations during endobronchial exploration in infants.
对51例婴幼儿进行了支气管纤维镜检查,其中9例在全身麻醉下进行,42例在局部麻醉下进行。大多数全身麻醉下的检查利用文丘里效应通过纤维镜进行通气。通过使用这种技术手段,通常可以避免使用插管导管,从而能够采用大多数技术操作(吸引、活检、支气管刷检)。描述了该方法可能的并发症,并讨论了纤维支气管镜检查相对于硬支气管镜检查的相对适应证。在婴幼儿支气管内探查中,使用柔性和刚性管的内镜检查应互为补充。