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该文分析了 13 0例临床为咯血病人的纤维支气管镜 (纤支镜 )检查结果。 13 6例按疾病性质分为肺癌组( 5 6例 ,占 4 3 % )、支扩组 ( 3 3例 ,占 2 5 .3 % )、内膜结核组 ( 14例 ,占 10 .7% )及其它疾病组 ( 3 3例 ,占 2 5 .3 % )。肺癌组镜下见管腔内有菜花样新生物 ,表面有坏死物覆盖 ,质脆易出血 ,管腔狭窄、糜烂多见。支扩组见腔内有大量脓性分泌物堵塞 ,管腔粘膜充血、水肿多见。内膜结核组见管腔内有散在的米粒大小的白色小结节 ,粘膜萎缩多见 ,管腔有粘稠分泌物。其它疾病组多以粘膜充血、水肿多见。纤支镜检查有助于正确判断咯血病人的病因诊断及尽早提供最佳治疗方法。
This paper analyzes the results of fibrobronchoscopy in 130 patients with hemoptysis. 13 6 cases were divided into lung cancer group (56 cases, 43%), branch expansion group (33 cases, 25.3%), endometrial tuberculosis group (14 cases, accounting for 10.7% ) And other diseases (33 cases, accounting for 25.3%). Lung cancer group microscope see lumen within the new pattern of cauliflower, the surface covered with necrosis, crisp and easy bleeding, stenosis, erosion more common. Branch expansion group see the cavity a large number of purulent discharge blockage, luminal mucosal congestion, edema more common. Endometrial tuberculosis see the lumen has scattered in the size of small white nodules, mucosal atrophy more common, the lumen has a thick discharge. Other diseases more than mucosal congestion, edema more common. Fiberoptic bronchoscopy helps to correctly diagnose the cause of hemoptysis and to provide the best treatment as soon as possible.