胸腔内结核：介入支气管镜在诊断中的作用。

IF 4.7 3区医学 Q1 PEDIATRICS

Paediatric Respiratory Reviews Pub Date : 2023-03-01 DOI:10.1016/j.prrv.2022.12.002

Pierre Goussard , Ernst Eber , Shyam Venkatakrishna , Lisa Frigati , Jacques Janson , Pawel Schubert , Savvas Andronikou

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引用次数: 0

摘要

结核病是全球单一传染源导致死亡的主要原因。死亡率与诊断和开始治疗的延迟有关。根据新的指南，由于治疗时间的差异，将肺结核（PTB）分为严重或不严重是非常重要的。支气管镜检查是评估儿科PTB气道压迫和阻塞程度的金标准。儿童支气管镜检查已经从一种主要的诊断程序发展到包括用于诊断目的的介入支气管镜检查。支气管内超声（EBUS）增加了纵隔淋巴结取样的潜力，用于组织学诊断和微生物学确认。

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Intrathoracic tuberculosis: Role of interventional bronchoscopy in diagnosis

Tuberculosis (TB) is the leading cause of death from a single infectious agent globally. Mortality is related to the delay in diagnosis and starting treatment. According to new guidelines it is very important to classify pulmonary tuberculosis (PTB) as severe or not severe disease due to the difference in treatment duration. Bronchoscopy is the gold standard for assessing the degree of airway compression and obstruction in paediatric PTB. Paediatric bronchoscopy has evolved from a primarily diagnostic procedure to include interventional bronchoscopy for diagnostic purposes. Endobronchial ultrasound (EBUS) has increased the potential of sampling mediastinal lymph nodes both for histological diagnosis and microbiological confirmation.

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来源期刊

Paediatric Respiratory Reviews 医学-呼吸系统

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

23 days

期刊介绍： Paediatric Respiratory Reviews offers authors the opportunity to submit their own editorials, educational reviews and short communications on topics relevant to paediatric respiratory medicine. These peer reviewed contributions will complement the commissioned reviews which will continue to form an integral part of the journal. Subjects covered include: • Epidemiology • Immunology and cell biology • Physiology • Occupational disorders • The role of allergens and pollutants A particular emphasis is given to the recommendation of "best practice" for primary care physicians and paediatricians. Paediatric Respiratory Reviews is aimed at general paediatricians but it should also be read by specialist paediatric physicians and nurses, respiratory physicians and general practitioners. It is a journal for those who are busy and do not have time to read systematically through literature, but who need to stay up to date in the field of paediatric respiratory and sleep medicine.