Abstract
As bronchofiberscopy became a common diagnostic technic in detection of various respiratory diseases in recent few years, 803 patients whose age ranged from 1 to 86 years old were examined with flexible bronchofiberscope in our hospital from April 1981 to August 1983. The suspected diagnosis were ; primary lung cancers 138, other malignancies 24, bronchopneumonia (for detection of caused bacterias) 105, tuberculosis 88, bronchoectasis 66, COLD 41, sarcoidosis 13, fungous diseases 9, PIE 7, and so on. The diagnostic rate by bronchofiberscopy was 76.8% in general, however 83% of bronchial brushing, 80% of bronchial biopsy, 65% of TBLB and 60% of bronchial lavage were diagnostic by each of these methods. Six hundred twenty four patients required treatment with bronchofiberscope, 367 patients for suction during general anesthesie, 218 with acute or chronic respiratory failure for evaluation of artificial airway and suction of intrabronchial secretions, 16 patients for intrabronchial administration of effective drugs. Four foreign bodies removed and one pulmonary proteinosis treated with broncheoalveolar lavage through bronchofiberscope. There were very few complications. The incidence of these complications were less than 30 ml. intrabronchial bleeding in 0.75% of the patients, and pneumothorax in 4 cases (0.25%) of those received this procedure, and the one required thoracic drainage. Lastly we conclude that ; flexible fiberscopy is a safe and effective procedure in detection, treatment and management of different kinds of respiratory diseases.
