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目的 探讨纤维支气管镜检对45岁以上中老年咯血患者病因诊断的价值。方法 分析1991年～2001年本院93例45岁以上咯血患者的纤维支气管镜检查结果。结果 93例中纤支镜检查示肺癌者38.7 % (31例肺癌和5例肺癌合并结核病者 ) ;结核病者37.6 % (35例 ) ;慢性炎症者21.5% (20例 ) ;急性炎症者5.4 % (5例 ) ;支气管扩张者2.2%(2例)。结论 45岁以上中老年咯血患者的主要病因为肺癌与结核病。两者有伴发现象 ;纤支镜下常规刷检或组织活检找癌细胞和结核杆菌是简便快捷的鉴别方法
Objective To investigate the value of fiberoptic bronchoscopy in the diagnosis of middle-aged and elderly patients with hemoptysis over 45 years old. Methods The results of fibrobronchoscopy of 93 patients with hemoptysis over 45 years old in our hospital from 1991 to 2001 were analyzed. Results Of the 93 cases, bronchoscopy showed 38.7% of lung cancer patients (31 lung cancer and 5 lung cancer patients with tuberculosis); tuberculosis 37.6% (35 cases); chronic inflammation 21.5% (20 cases); acute inflammation 5.4% (5 cases); bronchiectasis 2.2% (2 cases). Conclusion The main causes of hemoptysis in middle-aged and elderly people over 45 years old are lung cancer and tuberculosis. Both have associated with the phenomenon; fiberoptic bronchoscopy or tissue biopsy to find cancer cells and Mycobacterium tuberculosis is a quick and easy method of identification