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用纤支镜对13例患者(气胸11例,液胸2例)行胸腔检查,结果示阳性率76.9(10/13),其中气胸72.8％(8/11),癌性胸膜病变100％(3/3)。分析自发性气胸的发病机理:多为肺大泡破裂所致,亦可在肺内压力增高时气体由胸膜间皮细胞间裂孔进入胸腔而发生。讨论了癌性气胸发生的可能原因。提出了应用纤支镜行胸腔检查的体会。
Thirteen patients (11 cases of pneumothorax and 2 cases of liquid chest) underwent bronchoscopy with fiberoptic bronchoscopy. The positive rate was 76.9% (10/13), of which pneumothorax 72.8% (8/11) and malignant pleural disease 100% 3/3). Analysis of the pathogenesis of spontaneous pneumothorax: mostly caused by rupture of bullae, but also in the lung when the gas pressure increased by pleural mesothelial cells into the chest cavity occurred. The possible causes of cancerous pneumothorax were discussed. The application of fiberoptic bronchoscopy chest line examination experience.