摘要
目的探讨支气管镜检查在老年咯血患者病因诊断中的作用.方法回顾性分析1998-12～2004-12本院562例60岁以上老年咯血患者的临床资料、支气管镜下所见、镜下活检并刷检的病理及细菌学检查结果.结果 562例经支气管镜检查共诊断514例,阳性率为91.5%.其中肺癌249例(44.3%)、肺结核138例(24.6%)、炎症93例(16.5%)、支气管息肉21例(3.7%)、支气管异物7例(1.3%)和支气管结石6例(1.1%).支气管镜检查结果与临床最后诊断不符46例,漏诊、误诊率为8.2%.结论肺癌是老年咯血的首要原因,其他依次是肺结核、炎症、支气管息肉等,支气管镜检查在老年咯血患者病因诊断中有重要意义.支气管镜检查结合临床其他检查才能真正提高诊断率.
Objective To discuss the influence of fiberoptic bronchoscopy on the diagnosis of hemoptysis for gerontism.Methods Clinical data, examination of fiberoptic bronchoscopy findings,results of bronchoscopic and bronchoscopic brushing examination for acid-fast bacilli of 562 patients from December 1998～December 2004 in our department were retrospectively investigated.Results 514 cases were diagnosed by fiberoptic bronchoscopy,positive rates were 91.5%(514/562) including 249 cases (44.3%)were lung cancer,138 cases (24.6%)were pulmonary tuberculosis,93 cases (16.5%)were inflammation,21 cases(3.7%) were bronchus polyp,7 cases(1.3%) were foreign bodies in the bronchi and 6 cases(1.1%) were broncholithiasis.Examination of fiberoptic bronchoscopy findings of 46 cases did not accord with the clinical final diagnosis,missed diagnosis and misdiagnosis rate was 8.2%.Conclusion The dominant etiological factor was lung cancer,then were pulmonary tuberculosis (TB),inflammation,bronchus polyp etc in turn,fiberoptic bronchoscopy was very important in the diagnosis of hemoptysis in gerontism.Fiberoptic bronchoscopy integrated with other clinical examinations would really enhance definite diagnosis rate.
出处
《中国急救医学》
CAS
CSCD
北大核心
2005年第7期486-488,共3页
Chinese Journal of Critical Care Medicine
关键词
支气管镜
老年
咯血
病因
Fiberoptic bronchoscopy
Gerontism
Hemoptysis
Etiological factor
