目的 :探讨女性咯血的病因。方法 :对 2 5 8例女性咯血患者作纤支镜检查 ,并结合临床、X线表现 ,进行女性咯血的病因分析。结果 :2 5 8例女性咯血患者炎症 16 6例 ,占 45 % ,肿瘤 39例 ,占 15 .1% ,结核 18例 ,支气管扩张 11例。结论 :女性咯血的病因以炎症占首位 ,女性肺癌的检出率 (15 .1% )低于男性 (2 5 .7% ) ,其病理类型以腺癌 (4 8.7% )为主 Objective: To investigate the etiology of female hemoptysis. Methods: A total of 258 cases of hemoptysis in women were examined by fiberoptic bronchoscopy. Combined with clinical and X-ray findings, the etiology of female hemoptysis was analyzed. Results: Twenty-six (68%) cases of hemoptysis were found in 458 women, with 39 tumors (15.1%), tuberculosis (18 cases) and bronchiectasis (11 cases). Conclusions: The cause of hemoptysis in women is the most important cause of inflammation. The detection rate of female lung cancer (15.1%) is lower than that of male (25.7%). The pathological type is adenocarcinoma (47.7%).