Pue C A, Pacht E R
Department of Medicine, Ohio State University Hospitals, Columbus.
Chest. 1995 Feb;107(2):430-2. doi: 10.1378/chest.107.2.430.
To retrospectively review the indications and complications associated with flexible fiberoptic bronchoscopy (FFB) in a university teaching hospital.
retrospective review from April 1, 1988 to March 30, 1993.
Large tertiary care university hospital.
We reviewed 4,273 consecutive FFBs, including 2,493 bronchoalveolar lavages and 173 transbronchial biopsy procedures.
None.
Most (52%) FFBs were performed for obtaining lower respiratory tract samples for evaluation of suspected infection. An additional 17% were performed to evaluate an abnormality seen on chest radiograph. The most common therapeutic indication was removal of retained secretions in 8% of FFBs. The mortality rate was 0%, and the frequency of major and minor complications was 0.5% and 0.8%, respectively. The incidence of major complications secondary to transbronchial biopsy was 6.8%.
Flexible fiberoptic bronchoscopy can be performed safely in a teaching hospital with appropriate preparation, supervision, and adherence to protocol.
回顾性分析一所大学教学医院中与可弯曲纤维支气管镜检查（FFB）相关的适应证及并发症。
对1988年4月1日至1993年3月30日期间进行回顾性分析。
大型三级护理大学医院。
我们回顾了连续4273例FFB检查，其中包括2493例支气管肺泡灌洗和173例经支气管活检操作。
无。
大多数（52%）FFB检查是为获取下呼吸道样本以评估疑似感染。另外17%是为评估胸部X线片上发现的异常。最常见的治疗适应证是在8%的FFB检查中清除潴留的分泌物。死亡率为0%，严重和轻微并发症的发生率分别为0.5%和0.8%。经支气管活检继发的严重并发症发生率为6.8%。
在教学医院，通过适当的准备、监督和遵守操作规范，可安全地进行可弯曲纤维支气管镜检查。
