Our Hitherto Assembled Experience with Bronchoalveolar Lavage in Children
Strmiska F.1, Schwendt I.2, Melter J.1, Pohanka V.1, Buchanec J.3, Herout V.1, Belobradová M.1
Šrobárov ústav detskej tuberkulózy a respiračných chorôb, Dolný Smokovec - Vysoké Tatry,1 riaditeľ doc. MUDr. V. Pohanka, PhD., MPH, FCCP NsP - Odd. anestézy a intenzívnej medicíny, Poprad,2 primár MUDr. I. Schwendt Klinika detí a dorastu JLF UK, Martin,3 prednosta prof. MUDr. P. Bánovčin, CSc. |
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Summary:
The authors made 500 bronchoalveolar diagnostic lavages in children. From those they selected the results of
166 analyses, according to the clinical conditions they created a control group and group of sick children. The latter
was further subdivided according to diagnoses into diagnostic groups: aspergillosis, bronchial asthma, bronchiectasis,
relapsing bronchopneumonia, relapsing bronchitis, exogenous allergic alveolitis, diffuse parenchymatous
pulmonary process (DPPP), sarcoidosis, irritating cough syndrome. In every examined child they evaluated the
volume of lavage fluid, the total number of cells, the percentage ratio of alveolar macrophages, polymorphonuclear
leucocytes, total lymphocytes, CD3, CD4 and CD8 lymphocytes, they calculated the immunoregulating index. The
assessed values forming the control group were used as „reference“ values. After mathematical processing they
elaborated a practical table which makes rapid orientation during evaluation of any lavage fluid possible.
Key words:
bronchoalveolar lavage, analysis, lavage fluid, alveolar macrophages (AM), polymorphonuclear
leucocytes (PMNL), lymphocytes (Ly), CD3, CD4, CD8, immunoregulating index (IRI)
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