痰血,胸片阴性患者纤支镜检查的临床价值  

Value of Fiberoptic Bronchoscopy in Patients with Hemoptysis and a Normal Chest Roentgenogram

作　　者：韩葆惠 贾友明[1] 周敏[1] 

机构地区：[1]上海医科大学附属中山医院肺科,上海市200032

出　　处：《中国肿瘤临床》1994年第7期492-494,共3页Chinese Journal of Clinical Oncology

摘　　要：174例痰血,胸片阴性的病人进行了纤支镜检查.其中14.36%(25/174)确诊为肺癌,有重度吸烟史的肺癌病人占76%;68%肺癌采用手术治疗,肺癌组平均年龄显著高于非肺癌组.结论(1)痰血、胸片阴性伴有重度吸烟史的老年病人有必要行纤支镜检查;(2)病灶多起源于段支气管以上,气管癌占一定比例(4/25);(3)重复纤支镜检查能提高肺癌的检出率;(4)所检出的肺癌多数可采用手术治疗;(5)对年龄<40岁,痰血、胸片阴性的病人也应提高警惕.One hundred and seventy four patients with hemoptysis and a normal chestroentgenogram underwent fiberoptic bronchoscopy and 25 cancers (14. 36%)were detected. Seventy six percent of the 25 cases had a heavy smoking history(SI 400). The mean age of the patients with lung cancer were significantly older than those with noncancer diseases. Sixty eight percent of the cancer patients underwent operation. The authors suggested that 1. bronchoscopic examination is necessary in cases with hemoptysis and a nonsuspicious chest roentgenogram even in younger patients less than 40 years old; 2. origin of the bron-chogenic carcinomas were located proximal to segmental bronchus; 3. repeated bronchoscopic examination is helpful in the detection of the lung cancers;4. these cancers are usually resectable.

关 键 词：癌 痰血 肺肿瘤 支气管镜检 

分 类 号：R734.204[医药卫生—肿瘤]