소아 76명에서의 굴곡성 기관지 내시경술: 적응증, 이득그리고 합병증 (Flexible bronchoscopy in 76 children: Indications, yield, and complications)

서지정보

· 발행기관 : 대한 소아알레르기 호흡기학회
· 수록지 정보 : Allergy Asthma & Respiratory Disease / 4권 / 3호 / 181 ~ 187페이지
· 저자명 : 배우리, 문경필, 방경원, 김환수, 전윤홍, 윤종서, 김현희, 김진택

초록

Purpose: This study was performed to investigate the indications, yield, and complications of fl exible bronchoscopy for respiratory disease in children compared to earlier domestic studies and to examine if any diff erences existed in comparison to international studies.
Methods: The medical records of 100 cases of fl exible bronchoscopy that were performed in 76 patients at the Department of Pedi- atrics of The Catholic University of Korea, Seoul St. Mary's Hospital from June 16, 2010 to August 6, 2013 were reviewed.
Results: A total of 76 patients (50 males and 26 females) were included in the study. The most common indication of fl exible bron- choscopy was persistent pneumonia or pneumonia in immunocompromised patients (53 cases). The object of fl exible bronchos- copy was accomplished in 65 of 100 cases, and, the treatment was changed in 24 of 65 cases. The most common abnormal fi nding was tracheomalacia that was found in 18 cases. In 67 cases where bronchoalveolar lavage was performed, bacteria were identifi ed in 47 cases, fungi in 9 cases, and viruses in 22 cases. Complications occurred in 8 cases.
Conclusion: Compared to earlier domestic studies, there was no signifi cant change in diagnostic approaches and therapeutic im- provement. However, this study showed that fl exible bronchoscopy appears to be safe in patients with hemato-oncologic disease.
Compared to international studies, the occurrence of complications due to fl exible bronchoscopy was relatively low.

영어초록

Purpose: This study was performed to investigate the indications, yield, and complications of fl exible bronchoscopy for respiratory disease in children compared to earlier domestic studies and to examine if any diff erences existed in comparison to international studies.
Methods: The medical records of 100 cases of fl exible bronchoscopy that were performed in 76 patients at the Department of Pedi- atrics of The Catholic University of Korea, Seoul St. Mary's Hospital from June 16, 2010 to August 6, 2013 were reviewed.
Results: A total of 76 patients (50 males and 26 females) were included in the study. The most common indication of fl exible bron- choscopy was persistent pneumonia or pneumonia in immunocompromised patients (53 cases). The object of fl exible bronchos- copy was accomplished in 65 of 100 cases, and, the treatment was changed in 24 of 65 cases. The most common abnormal fi nding was tracheomalacia that was found in 18 cases. In 67 cases where bronchoalveolar lavage was performed, bacteria were identifi ed in 47 cases, fungi in 9 cases, and viruses in 22 cases. Complications occurred in 8 cases.
Conclusion: Compared to earlier domestic studies, there was no signifi cant change in diagnostic approaches and therapeutic im- provement. However, this study showed that fl exible bronchoscopy appears to be safe in patients with hemato-oncologic disease.
Compared to international studies, the occurrence of complications due to fl exible bronchoscopy was relatively low.

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