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经支气管肺活检相关的死亡及并发症

Deaths and complications associated with transbronchial lung biopsy.

作者信息

Herf S M, Suratt P M, Arora N S

出版信息

Am Rev Respir Dis. 1977 Apr;115(4):708-11. doi: 10.1164/arrd.1977.115.4.708.

DOI:10.1164/arrd.1977.115.4.708
PMID:848796
Abstract

A questionnaire requesting information about complications resulting from transbronchial lung biopsy was sent to 178 directors of respiratory disease training programs in the United States and Canada. Ninety-six questionnaires (54%) were returned, listing 5,450 transbronchial lung biopsy procedures. Thirteen deaths were directly or temporally related to the procedure. Nine patients died from hemorrhage. Eight of these patients had underlying diseases or were receiving drugs known to affect hemostasis. One also had pulmonary hypertension. One patient died from a tension pneumothorax that rapidly progressed more than two hours after the procedure. Analysis of the exact data, which were available for 2,628 procedures, indicated that pneumothorax, hemorrhage exceeding 50 ml, and death occurred in 5.5, 1.3, and 0.20% of procedures, respectively.

摘要

一份关于经支气管肺活检并发症信息的调查问卷被发送给了美国和加拿大178位呼吸系统疾病培训项目负责人。96份问卷(54%)被返还,列出了5450例经支气管肺活检手术。13例死亡与该手术直接或在时间上相关。9例患者死于出血。其中8例患者有基础疾病或正在接受已知会影响止血的药物治疗。1例还患有肺动脉高压。1例患者死于张力性气胸,该气胸在手术后两小时内迅速进展。对2628例手术的精确数据进行分析表明,气胸、出血超过50毫升和死亡分别发生在5.5%、1.3%和0.20%的手术中。

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