Severe Complications of Bronchoscopy
Severe Complications of Bronchoscopy
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DOI：
10.1159/000151656
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发表时间：
2008-01-01
期刊：
影响因子：
3.7
通讯作者：
Liu, Tonggang
中科院分区：
文献类型：
--
作者：
Jin, Faguang;Mu, Deguang;Liu, Tonggang
背景：介入支气管镜广泛用于许多肺部和气道疾病的诊断和治疗。人们对其并发症表示担忧。目的：回顾支气管镜检查相关的严重并发症。方法：回顾性分析1983年12月至2004年12月在我科接受支气管镜检查或治疗的23862例患者的临床资料。分析了与支气管镜检查或治疗相关的严重并发症。结果：研究期间，23862例患者中，152例出现严重并发症；死亡3例；严重并发症发生率为0.637%；死亡率为0.013%。并发症包括喉、气管、支气管痉挛68例，出血37例，心律失常19例，气道阻塞8例，食管气管瘘5例，气胸4例，气管穿孔3例，死亡3例。结论：支气管镜检查是一种安全的手术。与支气管镜检查相关的严重并发症和死亡率的增加可能归因于支气管镜检查的日益广泛使用。版权所有 (c) 2008 S. Karger AG，巴塞尔
Background: Interventional bronchoscopy is widely used for the diagnosis and therapy of many lung and airway diseases. Concern has been raised about its complications. Objective: To review the severe complications associated with bronchoscopy. Methods: A retrospective review of clinical records of 23,862 patients who underwent bronchoscopic examination or therapy from December 1983 to December 2004 in our department. Severe complications associated with bronchoscopic examination or therapy were analyzed. Results: During the study period, among 23,862 cases, 152 cases experienced severe complications; 3 cases died; the rate of severe complications was 0.637%; mortality rate was 0.013%. The complications included laryngeal, tracheal and bronchial spasm in 68 cases, hematorrhea in 37 cases, arrhythmia in 19 cases, airway obstruction in 8 cases, esophagotracheal fistula in 5 cases, pneumothorax in 4 cases, tracheal perforation in 3 cases, death in 3 cases. Conclusions: Bronchoscopy is a safe procedure. The increased rate of severe complications and death associated with bronchoscopy may be ascribed to the increasingly wide use of bronchoscopy. Copyright (c) 2008 S. Karger AG, Basel