论文部分内容阅读
目的 了解肺不张的常见病因及纤维支气管镜检查对肺不张诊断的重要性。方法 用纤维支气管镜对 2 45例肺不张的病人进行气管腔内检查 ,根据镜下所见 ,选做支气管灌洗、刷检、活检 ,将所取的标本送病理、脱落细胞、细菌学等检查。结果 2 45例肺不张经纤支镜检查 2 34例明确诊断 ,诊断率 95 5 %。其中肿瘤 172 / 2 45例 (70 2 % ) ,炎症 39/ 2 45例 (15 9% ) ,结核 31/ 2 45例 (12 7% ) ,其它原因 3/ 2 45例 (1 2 % )。结论 肿瘤、炎症、结核是肺不张的主要病因。 40岁以上肺不张者 ,肿瘤的发病率增高。纤支镜是诊断肺不张的重要手段。
Objective To understand the common causes of atelectasis and the importance of fiberoptic bronchoscopy in the diagnosis of atelectasis. Methods Bronchoscopy was used to examine the endotracheal tube in 2 45 patients with atelectasis. According to the findings of the microscope, bronchoalveolar lavage, brushing and biopsy were performed. The specimens were taken for pathology, exfoliated cells and bacteriology And other checks. Results 2 45 cases of atelectasis were diagnosed by fiberoptic bronchoscopy in 234 cases with a diagnosis rate of 95.5%. There were 457 (172%) of the tumors in 172/2 cases, 45/45 (15.9%) in 39/2 cases of inflammation, 31/45 (12.7%) of tuberculosis and 3/45 (12%) in other causes. Conclusion Tumor, inflammation and tuberculosis are the main causes of atelectasis. Over 40 years old atelectasis, the incidence of cancer increased. Bronchoscopy is an important means of diagnosis of atelectasis.