摘要
报告７８例老年咯血患者纤维支气管镜检查结果，７１例获得病因诊断，诊断率９１％（７例肺癌未取得病理依据）。咯血原因中，肺癌４８例，占６１．５％。其它依次是：支气管扩张１２例（１５．４％），肺炎１１例（１４．１％）。老年人肺结核发病率较低（６．４％）。４１例肺癌的病理分型显示，鳞癌３０例，小细胞癌少见，为５例。本组肺癌的Ｘ线胸片中肺部浸润和肺不张比例较高，分别是４６．３％和６１％。分析了肺癌的临床表现，主要是血痰、发热、胸痛与消瘦。我们认为，老年咯血患者有上述情况时，肺癌可能性较大，应及时进行纤支镜检查。
The results of bronchofibroscopic examinations in 78 elderly patients with hemoptysis were reported in the present study. Pathogerutic diagnosis was obtained by bronchoscopy in 91%(71/78) of the patients. Lung cancer had been found to be the primary cause of the hemoptysis in this studied group, which accounted for 48(61.8%) cases. Other causes leading to hemoptysis included bronchiectasis in 12(15.3%) patients and pneumonia in 11(14.1%) patients, but the morbidity of tuberculosis (6.4%) was relatively low in the present group. Among 41 patients with lung cancer, 30 of them had squamous cell carcinoma. Small cell carcinoma was rare, which was found in 5 patients only. Diffuse infiltrate shadows and pulmonary atelectasis on the chest roentgenogram were common in carcinomia patients, which presented in 46.3% and 61% of the patients, respectively. The clinical manifestations of the cancer were bloody spatum, faver, chest pain and marasmus. Pulmonary malignency should be considered in the elderly if hemoptysis. Occurred in combination with the abovementioned symptoms. Furthermore, bronchofibroscopy was indicated and should be carry out in time.
出处
《北京医学》
CAS
北大核心
1997年第4期200-202,共3页
Beijing Medical Journal
关键词
支气管镜
肺肿瘤
咯血
Bronchofibroscopy Lung cancer Squamous cell
