胸腔积液病人纤维支气管镜下的特点

• 作 者: 朱建军 韩虹 刘久山
• 机 构: 第一军医大学南方医院呼吸科!广州510515,第一军医大学分子生物学研究所!广州510515,第一军医大学南方医院呼吸科!广州510515
• 出 处: 第一军医大学学报
• 发表日期: 1998年01期
• 关键词: 胸腔积液 纤维支气管镜 病因诊断 粘膜萎缩 纤支镜检查 膜充血 疾病性质 胸膜活检 新生物 胰岛细胞瘤

分析了180例临床确诊病因的胸腔积液的纤维支气管镜检查结果。180例按疾病性质分3组：肺癌组（10例，占58.8％）、结核组（46例，占25.6％）、其它疾病组（28例，占15．6％）。肺癌组见隆脊增宽、变钝、管腔有新生物及狭窄，粘膜粗糙糜烂多见，粘膜萎缩少见。结核组见粘膜萎缩，管腔有分泌物，粘膜粗糙糜烂少见。其它疾病组以粘膜充血、水肿多见。纤支镜检查有助于正确判断胸腔积液的病因，尤其对肺癌与结核性胸腔积液的鉴别。

Analysis of 180 cases of clinically diagnosed pleural effusion fiberoptic bronchoscopy results. 180 cases were divided into 3 groups according to the nature of disease: lung cancer group (10 cases, accounting for 58.8%), tuberculosis group (46 cases, accounting for 25.6%) and other diseases group (28 cases, 15.6%). Lung cancer group, see ridge broadening, dull, a new lumen and stenosis, mucosal rough erosion more common mucosal atrophy rare. Tuberculosis group mucosal atrophy, lumen has secretions, mucosal erosion erosion rare. Other diseases to mucosal congestion, edema more common. Bronchoscopy helps to correctly determine the etiology of pleural effusion, especially for the identification of lung cancer and tuberculous pleural effusion.