Bronchoalveolar lavage in the diagnosis of pulmonary complications of bone marrow transplant patients

被引：0
作者：
A J Huaringa
F J Leyva
J Signes-Costa
R C Morice
I Raad
A A Darwish
R E Champlin
机构：
[1] The University of Texas MD Anderson Cancer Center,Department of Internal Medicine Specialties
[2] The University of Texas MD Anderson Cancer Center,Department of Blood and Marrow Transplantation
来源：
Bone Marrow Transplantation | 2000年 / 25卷
关键词：
bone marrow transplantation; bronchoalveolar lavage; bronchoscopy; lung diseases; fiber optics;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Bronchoalveolar lavage (BAL) has proved valuable in the diagnosis of pulmonary complications in immunosuppressed patients. We evaluated the diagnostic yield of BAL in pulmonary complications in bone marrow transplantation (BMT) recipients. We reviewed sequentially the records of 89 patients during an 18-month period. BAL was diagnostic in 42 patients (47%). The most common pulmonary complication diagnosed by BAL was diffuse alveolar hemorrhage (n = 15); followed by bacterial pneumonia (n = 10), respiratory syncytial virus (n = 8), aspergillosis (n = 6), Pneumocystis carinii pneumonia (n = 5), cytomegalovirus (CMV) (n = 4), and others (n = 4). The final diagnoses in the BAL non-diagnostic group were: bacterial pneumonia (n = 6), CMV (n = 6), idiopathic pneumonia syndrome (n = 5), cancer recurrence (n = 4), cardiogenic pulmonary edema (n = 4), and others (n = 9). We conclude that BAL is a useful diagnostic tool in BMT-related pulmonary complications. Bone Marrow Transplantation (2000) 25, 975–979.
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页码：975 / 979
页数：4
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