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An analytic study of cases of bronchoscopy of presenting patients to university Al –Assad hospital –Lattakia during 2016

دراسة تحليلية لحالات التنظير القصبي للمرضى المراجعين لمشفى الأسد باللاذقية خلال عام 2016

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 Publication date 2018
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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During 2016 we have made 167 survey bronchoscopy (101 males & 66 females),they had been done by flexible fibroscope (pentaxTM) slim diameter . Patients has prepared for the endoscopy by local anesthesia on nose ,pharynx and larynx using Lidocaine .In few particular cases , the sedation has been done by Midazolam (5mg) intravenous . The endoscopy's tolerance was good and no complication that require recovery occurred . The indications of the endoscopy were suspected malignancy, 49 cases had diagnosed in the rate of 56.3%. The disorders had been diagnosed and isolated in the case of suspected infections in 11 patients in the rate of 45.8%.The tuberculosis had been diagnosed in 9 patients in the rate of 42.8%. In hemoptysis cases ,bleeding site and causing factor had causing factor had been detected in 12 patients in rate of 63%. In chronic cough cases, the diagnosis had been confirmed in 4 patients in the rate of 50%. In case of interstitial pulmonary lesions , the diagnosis had been confirmed in 4 patients in the rate of 50%. After the study ,we emphasize the importance of broncoscopy as survey diagnostic instrument especially in malignancy cases , other negative tests (blood, sputum ), suspected infections , tuberculosis ,hemoptysis cases and interstitial lesions .Especially it is external good tolerances procedure with rare complication.


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Research summary
تتناول هذه الدراسة التحليلية حالات التنظير القصبي التي أجريت في مشفى الأسد الجامعي باللاذقية خلال عام 2016. تم إجراء 167 تنظيرًا قصبيًا باستخدام منظار ليفي مرن من نوع Pentax، وتم تحضير المرضى بالتخدير الموضعي باستخدام الليدوكائين، وفي بعض الحالات تم استخدام الميدازولام للتخدير الوريدي. لم تسجل مضاعفات تستدعي الاستشفاء، وكانت تحمل المرضى للتنظير جيدًا. كانت الاستطبابات الرئيسية للتنظير هي الاشتباه بالخباثة، حيث تم تشخيص 49 حالة بنسبة 56.3%، والاشتباه بالأخماج بنسبة 45.8%، والسل بنسبة 42.8%. في حالات نفث الدم، تم تحديد موقع النزف ومعرفة العامل المسبب لدى 63% من المرضى. كما تم تأكيد التشخيص في حالات السعال المزمن والآفات الرئوية الخلالية بنسبة 50%. تؤكد الدراسة على أهمية التنظير القصبي كوسيلة استقصائية تشخيصية، خاصة في حالات الخباثة والأخماج والسل ونفث الدم والآفات الخلالية، نظرًا لتحمله الجيد وقلة مضاعفاته.
Critical review
دراسة نقدية: تعتبر هذه الدراسة ذات أهمية كبيرة في تسليط الضوء على فعالية التنظير القصبي كوسيلة تشخيصية في الأمراض التنفسية. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، كان من الأفضل تضمين مجموعة مقارنة من المرضى الذين لم يخضعوا للتنظير القصبي لتقييم الفعالية بشكل أدق. ثانيًا، لم يتم التطرق بشكل كافٍ إلى التدابير الوقائية المتخذة لتجنب المضاعفات المحتملة. ثالثًا، كان من الممكن توسيع نطاق الدراسة لتشمل فترة زمنية أطول أو عدد أكبر من المرضى للحصول على نتائج أكثر شمولية. على الرغم من هذه النقاط، فإن الدراسة تقدم معلومات قيمة وتؤكد على أهمية التنظير القصبي في التشخيص الطبي.
Questions related to the research
  1. ما هي الاستطبابات الرئيسية للتنظير القصبي في هذه الدراسة؟

    الاستطبابات الرئيسية للتنظير القصبي كانت الاشتباه بالخباثة، الاشتباه بالأخماج، السل، نفث الدم، السعال المزمن، والآفات الرئوية الخلالية.

  2. ما هي نسبة تحمل المرضى للتنظير القصبي في هذه الدراسة؟

    تحمل المرضى للتنظير القصبي كان جيدًا ولم تسجل مضاعفات تستدعي الاستشفاء.

  3. ما هي نسبة تشخيص الخباثة باستخدام التنظير القصبي؟

    تم تشخيص الخباثة بنسبة 56.3% باستخدام التنظير القصبي.

  4. ما هي الإجراءات المتخذة لتحضير المرضى للتنظير القصبي؟

    تم تحضير المرضى للتنظير القصبي باستخدام التخدير الموضعي للأنف والبلعوم والحنجرة بالليدوكائين، وفي بعض الحالات تم استخدام الميدازولام للتخدير الوريدي.


References used
BUSS,W;WANNER,ADAMS,K;REYNOLDS,HYet all.2005,invesgativebronchoscoprovocation and bronchoscopy in airway diseases;172:807-816(PubMed:16020805)
DIKENSOY,O;USALANC.2002,Foregin body aspiration :clinical utility of flexible bronchoscopy .post graduate medicaljournal;78(921):399-403 PMID 12151654
FACCIOLONGO,N;PATELLI,M;GASPARINI,S et all.2009,incidence of complications in bronchoscopy .Malti centre prospective study of20.986 bronchoscopes. Monaldi Arch chest Dis; 71 :8-14
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