老年肺不张患者287例纤维支气管镜检查结果分析

Analysis of the Results of the Fiberoptic bronchoscopy Examination of 287 Elderiy Patients with Atelectasis

目的:探讨老年肺不张病因。方法:经X线胸片、CT明确诊断的老年肺不张287例行纤维支气管镜刷检、活检、涂片、培养以明确病因。结果:老年肺不张中肺癌发病率最高,占58．19％,炎症占31．01％,结核占7．31％,其他占3．48％。结论:老年肺不张中,肺癌发病率最高,炎症次之。纤维支气管镜检查是目前肺不张病因诊断中最重要的手段,应早期进行。老年患者纤支镜检是相对安全的。

Objective： To investigate the pathogenic factor of elderly patients atelectasis. Methods ：287 elderly patients with ateleetasis diagnosised by X-ray films of chest and CT plain scan of chest were taken biopsy and smear by the fiberoptic bronehoscopy , and samples of biopsy and smear were given pathological, cytological and bacteriogieal examination to sure the cause . Results ：Elderly patients with atelectasis mostly found in neoplasms 58. 19%, then inflammation 31.01%, tuberculosis 7. 31%, other diseases 3. 48%. Conclusion ：The cause of elderly patients with acteleetasis first is lung cancer , then inflammation. the fiberbronchoseope examination is the most important way to find the pathogenic factor of elderly patients with ateleetasis currently ,it should be done early. That elderly patients were given the fiberoptic bronchoseopy examination is safe.