RESUMO
The authors have retrospectively analysed 161 bedside fiberoptic bronchoscopies performed at intensive care units and demonstrate its' main indications, results and influences on the patients' condition. In 35.4% of cases immediate improvement was observed, in 31.6% the examination contributed to choose the proper treatment. Due to the safe method only one serious complication occurred because of bronchoscopy. The results justify-according to the literature-that fiberoptic bronchoscopy is an indispensable method to check airways and for diagnostical and therapeutic interventions of critically ill patients.
Assuntos
Broncoscopia/métodos , Tecnologia de Fibra Óptica , Unidades de Terapia Intensiva , Broncoscópios , Feminino , Humanos , Hungria , Pneumopatias/cirurgia , Masculino , Doenças Torácicas/cirurgia , Neoplasias Torácicas/cirurgia , Cirurgia TorácicaRESUMO
The histological results of transbronchial lung biopsies have been analysed in 109 patients with diffuse or localised lung diseases. This diagnostic procedure is relatively safe, well tolerable and can be carried out in outpatients. In diffuse lung diseases its use can replace the open lung biopsy. The efficacy of this method depends on the availability of biplanar fluoroscopy, the quality of the excisors, the quantity and size of the biopsy material and the technique of the histological handling.
Assuntos
Biópsia por Agulha/instrumentação , Pneumopatias/diagnóstico , Idoso , Biópsia por Agulha/métodos , Brônquios , Feminino , Fluoroscopia , Técnicas Histológicas/instrumentação , Humanos , Hungria , Pneumopatias/patologia , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Radiografia TorácicaRESUMO
122 patients with the main airway stenosis were treated with Nd-YAG laser phototherapy. The endobronchial laser treatment was performed either with flexible bronchoscope (64%), or with rigid instrument (36%). This method can result a final recovery of the patients with benign tumors, or inflammatory processes, at the patients with malignant tumors can be achieved an effective palliation. Taking account the generally accepted indications and contraindications of the endobronchial laser phototherapy the number of the complications can be reduced.
Assuntos
Neoplasias Brônquicas/complicações , Terapia a Laser , Neoplasias da Traqueia/complicações , Estenose Traqueal/terapia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neodímio/uso terapêutico , Cuidados Paliativos , Estenose Traqueal/etiologiaRESUMO
17 patients with malignant main airway tumours were treated with combined high dose rate afterloading and external beam irradiation. The improvement of the general conditions of the patients and that of the leading symptoms (dyspnoe, cough) were observed in all cases. First experiences corresponding with those of others suggest that this method should be integrated routinely in the management of main airway malignancies with endoluminal exophytic involvement.