TY - JOUR T1 -英国柔韧纤维支气管镜的调查JF -欧洲呼吸杂志JO - Eur Respir J SP - 458 LP - 463 DO - 10.1183/09031936.02.00103702 VL - 19 IS - 3 AU - Smyth, C.M. AU - Stead, R.J. Y1 - 2002/03/01 UR - //www.qdcxjkg.com/content/19/3/458.abstract N2 -柔韧支气管镜的实践不规范。目前的指导方针主要关注手术的安全方面。鉴于此，以及作者自己对准备和技术的个体差异的观察，进行了一项全国支气管镜手术调查，以评估医生的方法。一份结构化的问卷被邮寄给547名成人呼吸内科的顾问医生。评估了医生对病人的准备、药物治疗、取样方法和柔性支气管镜并发症的经验。获得了60%的响应(328名医生)。在31%的回复中，初级医生获得了患者的同意。205名(63%)医生使用苯二氮平镇静，46名(14%)医生使用阿片类药物，38名(12%)医生同时使用这两种药物。94名(29%)医生开了抗马碱碱药物，235名(74%)医生给机械心脏瓣膜患者开了抗生素。只有22%的医生在所有手术过程中监测心电图，10%监测血压。 Marked variance was noted in sampling routines of suspected lung tumours. Physicians who used fluoroscopic guidance for transbronchial lung biopsy reported a significantly lower incidence of pneumothorax requiring drain insertion over the previous 12 months compared to those who did not (2.68 of 1000 versus 9.17 of 1000, (p<0.03)), but no difference in the total incidence of pneumothorax. Only 87 (27%) of responders had performed transbronchial needle aspiration sampling over the previous 12 months. The preparation and practice of flexible bronchoscopy varies greatly for each physician. Use of radiographical screening for performing transbronchial lung biopsy was associated with a lower likelihood of pneumothorax requiring chest tube drainage. This study was funded by the East Cheshire NHS trust. ER -