Pulmonary Hemorrhage in Fiberoptic Transbronchial Biopsy
| Autor: | Donald C. Zavala |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Hemoptysis medicine.medical_specialty Biopsy medicine.medical_treatment Myocardial Infarction Critical Care and Intensive Care Medicine Bronchoscopy medicine Fiber Optic Technology Humans Segmental Bronchus Thoracotomy Hypoxia Immunosuppression Therapy business.industry Arrhythmias Cardiac Hypoventilation Blood Coagulation Disorders Middle Aged medicine.disease Asthma Surgery Myocardial infarction complications Pulmonary hemorrhage Tamponade Radiology Cardiology and Cardiovascular Medicine Airway Lung tissue Transbronchial biopsy business |
| Zdroj: | Chest. 70:584-588 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.70.5.584 |
| Popis: | Transbronchial forceps biopsy via the flexible fiberoptic bronchoscope is described as a "safe," high-yielding procedure, but the potential danger of serious hemorrhage is of concern to chest physicians. In a collected series of 438 patients, the incidence of mild to "explosive" hemorrhage was 9 percent in "routine" cases, 29 percent (eight) in 31 immunosuppressed patients, and 45 percent (five) in 11 uremic patients. One death resulted from massive hemorrhage. A new "wedge" method of transbronchial forceps biopsy is now being utilized in our bronchoscopic unit. The tip of the flexible fiberoptic bronchoscope is lodged into the appropriate segmental bronchus to tamponade any bleeding and, thus, prevent blood from flooding the airway. Careful screening of patients and competence in procedural techniques are necessary. Otherwise, transbronchial forceps biopsy should be performed through a rigid open-tube bronchoscopicronchoscope or performed through a rigid open-tube bronchoscope or lung tissue should be obtained via thoracotomy. |
| Databáze: | OpenAIRE |
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