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Bronchoscopy in Rural Areas英文文献资料.doc

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Bronchoscopy in Rural Areas英文文献资料

HindawiPublishingCorporation PulmonaryMedicine Volume2012,ArticleID872327,5pages doi:10.1155/2012/872327 ResearchArticle BronchoscopyinRuralAreas? ReidarBerntsen 1andErikWaageNielsen2,3,4 1 2 3 4 DepartmentofMedicine,HelgelandssykehusetMosj?en,8661Mosj?en,Norway DepartmentofAnesthesiology,NordlandssykehusetBod?,8092Bod?,Norway UniversityofNordland,FacultyofProfessionalStudies,8049Bod?,Norway UniversityofTroms?,InstituteofClinicalMedicine,9037Troms?,Norway CorrespondenceshouldbeaddressedtoErikWaageNielsen,erik.waage.nielsen@uit.no Received31July2011;Accepted6November2011 AcademicEditor:HisakoMatsumoto Copyright?2012R.BerntsenandE.W.Nielsen. This is an open access article distributed under the Creative Commons AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis properlycited. Qualityofbronchoscopyperformedbyonesinglepulmonologistinascarcelypopulatedsubarcticareawascomparedtothe guidelinesprovidedbytheBritishThoracicSociety(BTS).103patientsunderwentbronchoscopy.Diagnosticyieldwasincreased to76.6%whenthe?rstbronchoscopywas supplementedbybronchialwashing?uidandbrushcytology andto86.7%(BTS guidelines80%)afterasecondbronchoscopy.Mediantimefromreferraltobronchoscopywas10daysand8daysfrompositive bronchoscopytooperativereferraltoanotherhospital.1%ofpatientsthatunderwenttransbronchiallungbiopsyhadminor complications.Onepulmonologisthadrateofcorrectdiagnosisbasedonvisibleendobronchialtumorsthatwascomparabletothe ratesofnumerouspulmonologistsatlargercentersperformingthesameprocedure.Timedelaywasshort.Rateofcomplications was comparable. Bronchoscopy performed by one pulmonologist alone could, in organized settings, be carried out at local hospitalsinareasofscatteredsettlement. 1.Introduction 2.MaterialsandMethods TheBritishThoracicSociety(BTS)hasgivenguidelinesfor bronchoscopyanddiagnosticyieldwhenperformingbron- choscopy of visible potentially malignant lesions [1]. The guidelinesarebasedonthepracticeoflarg