Gerasin V A, Palamarchuk G F, Kizela A P
Ter Arkh. 1994;66(3):15-9.
Bronchofibroscopic bronchial examination detected inflammation-induced changes in the bronchi in the form of mucosal thickening (edema), small masses of the sputum and occasional hyperemia in the majority of the examinees with bronchial asthma. In combination with bronchoalveolar lavage, bronchofibroscopy provides diagnosis of bronchial hyperreactivity basing on determination of segmentary bronchial stenosis in response to salt solution instillation. The degree of this stenosis can evidence the degree of hyperreactivity of the bronchi. Bronchofibroscopic signs of bronchial hyperreactivity appear more distinctly in asthma aggravations, in severe run of the disease, in pronounced inflammation.
纤维支气管镜支气管检查发现，在大多数支气管哮喘患者中，支气管出现了炎症引起的变化，表现为黏膜增厚（水肿）、少量痰液积聚以及偶尔的充血。结合支气管肺泡灌洗，纤维支气管镜检查通过测定滴注盐溶液后节段性支气管狭窄情况来诊断支气管高反应性。这种狭窄程度可证明支气管高反应性的程度。支气管高反应性的纤维支气管镜征象在哮喘加重期、疾病严重发作期及明显炎症时表现得更为明显。
