纤维支气管镜(纤支镜)检查是诊断早期中央型肺痛的主要手段。现报告经纤支镜检查确诊的早期中央型肺癌12例,并讨论其诊断价值。 临床资料 收集1991年1月～1996年6月经纤支镜检查确诊的中央型肺癌206例,其中12例(5.8％)符合早期中央型肺癌的诊断标准。12例中男10例,女2例;年龄46～68岁,平均59.3岁。鳞癌9例,腺癌、小细胞痛、病理未能分型各1例。吸烟200支/年以上者9例,有慢性支气管炎病史3例,肺结核病史2例。临床及X线表现:12例均有咳嗽(3例为刺激性干咳,3例咳嗽性质改变),痰中带血4例,发热3例,下肢酸痛、乏力2例;肺部闻及局限性哮鸣音2例,杵状指 Fiberoptic bronchoscopy (bronchoscopy) examination is the main means of diagnosis of early central pulmonary pain. An early report of 12 patients with early-stage central lung cancer diagnosed by fibrobronchoscopy is reported and its diagnostic value is discussed. Clinical data 206 cases of central lung cancer diagnosed by fiberbronchoscopy from January 1991 to June 1996 were collected, of which 12 cases (5.8%) met the diagnostic criteria for early central lung cancer. In 12 cases, there were 10 males and 2 females; aged 46-68 years, with an average of 59.3 years. Squamous carcinoma in 9 cases, adenocarcinoma, small cell pain, pathological failure to type 1 case each. There were 9 cases of smoking more than 200 cigarettes/year, 3 cases had a history of chronic bronchitis, and 2 cases had a history of tuberculosis. Clinical and X-ray manifestations: All 12 cases had cough (3 cases had irritating dry cough, 3 cases had changed cough), 4 cases had sputum blood in the sputum, 3 cases had fever, and 2 cases had leg pain and weakness; lung disease and limitation Wheezes in 2 cases, clubbing