论文部分内容阅读
目的探讨老年咯血患者的病因及临床特征,提高对老年咯血患者的认识,争取早诊断早治疗。方法对门诊及住院老年咯血患者进行胸部CT、纤维支气管镜、PPD试验、痰找抗酸杆菌,脱落细胞学,病理学检查等以明确诊断,并对出血量进行统计。结果对167例老年咯血患者的病因及咯血量分析,其中肺癌占首位(34.1%),且以小量咯血为主(80.7%),其次为支气管扩张及肺结核,分别以中等量及少量为主。结论老年咯血的原因较复杂,其中以肺癌、支气管扩张、肺结核最为常见。对于新近出现的间断或持续的难以治愈的痰中带血或小咯血应首先考虑肺癌。
Objective To investigate the etiology and clinical features of elderly patients with hemoptysis and to raise awareness of elderly patients with hemoptysis for early diagnosis and early treatment. Methods CT and fibrobronchoscopy, PPD test, sputum acid-fast bacilli, exfoliative cytology and pathological examination were performed on outpatients and inpatients with elderly patients with hemoptysis to confirm the diagnosis and calculate the amount of bleeding. Results The causes and the amount of hemoptysis in 167 elderly patients with hemoptysis were analyzed. Lung cancer accounted for the first place (34.1%) with small amount of hemoptysis (80.7%), followed by bronchiectasis and pulmonary tuberculosis . Conclusions The causes of hemoptysis in the elderly are complicated, of which lung cancer, bronchiectasis and tuberculosis are the most common. Lung cancer should first be considered for bloody or hemoptysis in the newly occurring intermittent or persistent refractory sputum.