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Role of Fiberoptic Bronchoscopy in Non-Resolving Pneumonia

机译:纤维支气管镜在非解决性肺炎中的作用

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Introduction: Non-resolving pneumonia is always a challenging clinical scenario where various diagnostic modalities are greatly required to reach the diagnosis. We aimed to study the role of fiberoptic bronchoscopy in non-resolving pneumonia along with the various comorbidities associated with the disease condition. Materials and Methods: A cross sectional study in a tertiary care hospital was undertaken. A total of 60 patients diagnosed with non-resolving consolidation were recruited for diagnostic fiberoptic bronchoscopy. Results: The overall diagnostic yield of fiberoptic bronchoscopy in non-resolving pneumonia was 96.66%. The causes of non-resolving pneumonia were tuberculosis (40 (66.67 %), bacterial pneumonia (8 (13.33 %)), malignancy (6 (10%)), fungal pneumonia (3 (5 %)) and foreign body (1 (1.66 %) in order of decreasing proportions. 2 cases (3.33 %) were undiagnosed. 29 (48.33%) patients had a significant past history which also revealed associated co morbid conditions. Chronic obstructive pulmonary disease (COPD) (14 (23.33 %)) and diabetes (10 (16.66%)) were the leading comorbid conditions. Conclusion: Fiberoptic bronchoscopy is a great utility tool in reaching the diagnosis in patients with non-resolving pneumonias.
机译:简介:非解决性肺炎一直是具有挑战性的临床情况,在此情况下,需要大量的诊断方式来进行诊断。我们旨在研究纤维支气管镜在非解决性肺炎以及与疾病状况相关的各种合并症中的作用。材料和方法:在三级医院进行了横断面研究。总共招募了60名被诊断为非分辨性巩固的患者,用于诊断性纤维支气管镜检查。结果:纤维支气管镜检查对非分离性肺炎的总诊断率为96.66%。不能解决的肺炎的原因是结核病(40(66.67%),细菌性肺炎(8(13.33%)),恶性肿瘤(6(10%)),真菌性肺炎(3(5%))和异物(1(按比例递减的比例为1.66%;未确诊的2例(3.33%);过去有显着病史的29位(48.33%),也显示了相关的合并病;慢性阻塞性肺疾病(COPD)(14(23.33%)) )和糖尿病(10(16.66%))是主要的合并症。结论:纤维支气管镜检查是诊断非分离性肺炎的重要工具。

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