咯血患者纤维支气管镜检查结果分析

Nanalysis of result of spitting blood patient′s fibre bronchus spetacle examination

目的探讨咯血病因。方法对227例咯血患者行纤维支气管镜检查,经肉眼观察、活检、支气管分泌物或灌洗液行组织学或细胞学检查。结果咯血原因:炎症160例,占70.5%,居首位;肺癌36例,占15.9%,居第2位;结核14例,占6.2%;其次为支气管扩张9例,约占4%;正常8例,占3.5%。总阳性率96.5%。结论纤维支气管镜检查对不明原因咯血是临床检查中一项必要手段,并发症少,较为安全。

[Objective]To study the cause of hemotysis. 227 hemotysis patients used bronchoscopy were observed by naked eye, the bronchus secretion or infuse to wash the liquid to go the histology or cytology checks. The reason of hemotysis: 160 of inflammation (70.5%), standing first; 36 of lung cancer (15.9%), occupied the second, 14 of tubercle (6.2%), extending 9 for the bronchus (4%), normal 8 (3.5%). The total positive rate was 96.5% [Conclusion] It is a necessary mean that bronchoscopy to hemotysis who not clear reason in the clinical check, the complications is little, more safe.