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ACTA Endoscopica

0240-642X
Revue officielle de la Société Française d'Endoscopie Digestive
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 ARTICLE VOL 23/3 - 1993  - pp.151-162  - doi:10.1007/BF02969956
TITRE
Fibroscopie bronchique sous anesthésie locale. Indications, résultats et complications dans une série de 1 323 examens

TITLE
Fiberoptic bronchoscopy in local anaesthesia. Indications, results and complications in 1,323 examinations

ABSTRACT

In 1986–1989, 1,323 fiberoptic bronchoscopies were performed in 1,186 patients, 696 men, 490 women, with a median age of 61 years. The indication was diagnostic in 94.5 % and therapeutic in 5.5 % of the examinations. Local anaesthesia was used in 96.3 % of the procedures and general anaesthesia in 3.7 %. Out of 229 patients with a normal chest X-ray and bronchopulmonary symptoms, a conclusive diagnosis was obtained in 93 %.

Among 772 patients with circumscribed pulmonary lesions, the diagnosis was obtained in 68 %, and among 179 patients with diffuse pulmonary lesions in 63 %. In 14 immunocompromised patients with pneumonia, the microbiological diagnosis was obtained in 50 %. Out of 478 patients with primary lung cancer, 67 % were diagnosed by bronchoscopy, compared to 45 % of 58 patients with metastatic lung cancer. Among 13 patients with benign pulmonary tumours, 46 % were diagnosed by bronchoscopy. In the entire series, the final diagnosis was obtained by fiberoptic bronchoscopy in 70 % of the patients. Complications consisted of one death due to ischaemic heart disease, and pneumothorax in 5.4 % of the examinations when transbronchial biopsies were performed.



AUTEUR(S)
N. MILMAN, E.P. MUNCH, P. FAURSCHOU, G. GRODE, B.N. PETERSEN, E. STRUVE-CHRISTENSEN, U.G. SVENDSEN

MOTS-CLÉS
anesthésie locale, cancer, complications, fibroscopie bronchique, indications, pathologie inflammatoire, poumons, tumeurs

KEYWORDS
cancer, complications, fiberoptic bronchoscopy, indications, inflammatory diseases, local anaesthesia, lung, tumors

LANGUE DE L'ARTICLE
Français

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