Fibroscopie bronchique sous anesthésie locale. Indications, résultats et complications dans une série de 1 323 examens
Fiberoptic bronchoscopy in local anaesthesia. Indications, results and complications in 1,323 examinations
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.
N. MILMAN, E.P. MUNCH, P. FAURSCHOU, G. GRODE, B.N. PETERSEN, E. STRUVE-CHRISTENSEN, U.G. SVENDSEN
anesthésie locale, cancer, complications, fibroscopie bronchique, indications, pathologie inflammatoire, poumons, tumeurs
cancer, complications, fiberoptic bronchoscopy, indications, inflammatory diseases, local anaesthesia, lung, tumors