Rothmann B F, Walker L H, Stone R T, Seguin F W
Ann Otol Rhinol Laryngol. 1982 Nov-Dec;91(6 Pt 1):641-2. doi: 10.1177/000348948209100625.
Bronchoscopic aspiration of the tracheobronchial tree in patients with cystic fibrosis is a controversial procedure. Results of therapy are difficult to evaluate. Many different techniques have been described, adding to the confusion. Our experience using limited lavage with 4% acetylcysteine and saline have been most gratifying in 114 procedures at the Children's Hospital Medical Center of Akron, Ohio. Each was performed under general anesthesia using the rigid bronchoscope. There were no deaths. Timing of the procedure and patient selection are partially subjective. The most impressive results have been improved pulmonary compliance and improved quality of life in the patient. Details of the procedure, techniques of anesthesia, and results of therapy are presented.
对囊性纤维化患者进行气管支气管树的支气管镜吸引术是一个存在争议的操作。治疗结果难以评估。已经描述了许多不同的技术，这增加了混乱。我们在俄亥俄州阿克伦儿童医院医疗中心进行的114例手术中，使用4%乙酰半胱氨酸和生理盐水进行有限灌洗的经验非常令人满意。每次手术均在全身麻醉下使用硬支气管镜进行。没有死亡病例。手术时机和患者选择部分是主观的。最显著的结果是患者的肺顺应性提高和生活质量改善。本文介绍了手术细节、麻醉技术和治疗结果。
