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目的讨论纤维支气管镜对右中叶综合征诊断的价值。方法收集2002年3月至2007年12月的右肺中叶综合征34例患者的临床资料及纤维支气管镜检查结果。结果炎症21例(61.76%),肿瘤6例(17.65%),结核3例(8.82%),其余4例(11.76%)分别为异物、痰栓、血块机化及不明原因所致。右中叶综合征以中老年人多见,40岁以上右中叶综合征患者不仅炎症发病率较高,而且肿瘤发病率也较高,故对40岁以上右中叶综合征原因不明者应提高警惕。结论右中叶综合征临床表现无特殊性,纤维支气管镜对其诊断有重要价值。
Objective To discuss the value of fiberoptic bronchoscopy in the diagnosis of right middle lobe syndrome. Methods The clinical data of 34 patients with right middle lobe syndrome from March 2002 to December 2007 were collected and the result of fiberoptic bronchoscopy was collected. Results Inflammation was found in 21 cases (61.76%), tumor in 6 cases (17.65%), tuberculosis in 3 cases (8.82%) and the remaining 4 cases (11.76%) were foreign body, sputum suppository, clotting and unknown cause. Right middle lobe syndrome is more common in the elderly, right middle-aged patients over 40 years old not only a higher incidence of inflammation, but also a higher incidence of cancer, so 40 years of age or more right middle-upper syndrome should be raised on alert. Conclusion The clinical manifestations of right middle lobe syndrome are of no particularity. Fiberoptic bronchoscopy is of great value in its diagnosis.