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1992～1995年,我们对164例老年咯血患者进行了纤维支气管镜(纤支镜)检查。现将结果报告并分析如下。 临床资料:本组男138例,女26例;年龄60～79岁,平均66.1岁。咯血持续时间1天至2年,平均78.3天。临床表现为咯血痰或痰中带血丝152例,大咯血(>100ml/d)12例。X线正侧位胸片示正常或肺纹理增多20例,肺部肿块、浸润、空洞、肺不张和肺门肿大144例。 检查方法:均采用Olympus BF—P_(10)型纤支镜,于咯血间期检查。术前常规肌注安定、阿托品。用1％地卡因行鼻腔、咽喉部喷雾麻醉,经鼻将纤支镜缓缓送入,依次检查会厌、声门、气管及支气管。如咳嗽较剧,可通过纤支镜活检孔注入2％利多卡因2～4ml行粘膜表面麻醉,并吸出气管及支气管内的
From 1992 to 1995, we performed fiberoptic bronchoscopy on 164 elderly patients with hemoptysis. The results are now reported and analyzed as follows. Clinical data: The group of 138 males and 26 females; aged 60 to 79 years, mean 66.1 years. Hemoptysis duration of 1 day to 2 years, an average of 78.3 days. Clinical manifestations of hemoptysis sputum sputum or blood in 152 cases, severe hemoptysis (> 100ml / d) in 12 cases. X-ray is chest X-ray showed normal or increased lung markings of 20 cases of lung mass, infiltration, empty, atelectasis and hilar 144 cases. Inspection methods: Olympus BF-P_ (10) type bronchoscopy was used in hemoptysis. Preoperative regular intramuscular stability, atropine. With 1% dexamethasine nasal cavity, throat spray anesthesia, nasal fiberoptic bronchoscopy slowly into the, check epiglottis, glottis, trachea and bronchus. Such as cough drama, bronchoscopy biopsy hole injection of 2% lidocaine 2 ~ 4ml line mucosal surface anesthesia, and inhaled trachea and bronchial