2470例咯血患者纤支镜分析

• 作 者: 杨远 周淮英 郑东元
• 机 构: 湖南医科大学附属第二医院,湖南医科大学附属第二医院,湖南医科大学附属第二医院
• 出 处: 湖南医学
• 发表日期: 1993年03期
• 关键词: 支气管内膜结核 咯血 支气管镜术 灌注法 支气管肺癌 咯血者 投药 霉菌感染 胸外伤 肺泡灌洗

对2470例咯血者行纤支镜病因诊断,支气管肺癌802例,支气管内膜结核39例,慢性炎症1614例,肺霉菌感染4例,异物3例,胸外伤2例,其它肺部少见病6例。年龄大于40岁的男性、重度吸烟、近期痰血者为肺癌高发人群。对支气管内膜结核者局部给药,对炎性大咯血、引流不畅者行肺泡灌洗和给药可获良效。

Of 2470 cases of hemoptysis were diagnosed by fiberoptic etiology, 802 cases of bronchial lung cancer, 39 cases of endobronchial tuberculosis, 1614 cases of chronic inflammation, pulmonary infection in 4 cases, foreign body in 3 cases, 2 cases of chest trauma, other rare lung disease 6 example. Men over the age of 40, heavy smokers, recent sputum blood for the high incidence of lung cancer. Local administration of bronchial endometrial tuberculosis, massive hemoptysis, poor drainage of alveolar lavage and administration of good results can be obtained.