Resultados preliminares y factibilidad del mini lavado bronco-alveolar en pacientes cursando falla respiratoria severa

Andresen, Max; Mercado, Marcelo; Zapata, Marcelo; Bustamante, Andrea; Regueira, Tomás

doi:10.4067/s0034-98872011001000007

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“…БАЛ широко используется для диагностики инфекций у детей с онкогематологическими заболеваниями [3,6,7,[13][14][15][16][17][18]. В одном из ранних итальянских исследований правильный этиологический диагноз легочного заболевания был возмо-жен в 90 % случаев при использовании БАЛ даже спустя неделю после начала антибиотикотерапии [18].…”

Section: Discussionunclassified

Bronchoalveolar lavage in pediatric oncohematology

Krylovetskaya¹,

Gusarova²,

Savosin³

et al. 2023

Medicinskij alfavit

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Relevance. Pulmonary lesions of infectious etiology in oncohematological children are common and, in some cases, may be accompanied by a lethal outcome. When pulmonary tissue lesions on the background of hematopoiesis aplasia in the post-chemotherapy period is shown bronchoscopy to determine the genesis of the identified changes.Aim. To determine the diagnostic value of bronchoscopy with BAL in children with oncohematological diseases.Materials and methods. 25 bronchoscopies with BAL were performed on the basis of the endoscopic department of the Research Institute of Pediatric Oncology and Hematology.Results. According to the results of the study in 72% of cases a microbiologic agent was detected. The most frequent pathogens obtained by the results of cultures were Haemophilus parainfluenzae, Streptococcus oralis, Neisseria macacae, Streptococcus peroris and Pseudomonas aeruginosa.Conclusions. Bronchoscopy with BAL in children with blood system tumors is a highly informative method of pathogen detection and determination of the etiological cause of infiltrative-inflammatory changes in the lungs.

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