纤维支气管镜检查在肺不张病因治疗诊断中的应用  

Study on the causes of atelectasis by fiberoptic bronchoscopy

作　　者：马厚志[1] 李玉光[1] 张罗献[1] 

机构地区：[1]河南省人民医院呼吸科,郑州市450003

出　　处：《实用诊断与治疗杂志》2008年第5期351-352,354,共3页Journal of Practical Diagnosis and Therapy

摘　　要：目的:探讨纤维支气管镜检查在肺不张病因诊断中的应用价值及不同年龄组肺不张病因的特点。方法:胸部X线、CT诊断肺不张184例,经纤维支气管镜观察、活检、刷检、灌洗及抗炎治疗明确病因。结果:184例肺不张患者中,肺癌99例(53.8%),炎症52例(28.3%),结核21例(11.4%),异物4例(2.2%),病因未明8例(4.3%),确诊176例,确诊率95.6%。老年以肺癌为主(66.7%),中年以肺癌(56.1%)和炎症(36.4%)占多数,青年以结核(37.8%)和炎症(29.7%)多见。结论:中老年肺不张多由肺癌所致,青年肺不张以结核和炎症多见;纤维支气管镜检查对确定肺不张的病因具有重要的临床价值。Objective To investigate the value of fiberoptic bronchoscopy in diagnozing the causes of atelectasis and the features of the causes of atelectasis in different ages. Methods One hundred and eighty-four cases of atelectasis diagnosed by X-ray or CT were examined with fiberoptic bronchoscope, biopsy, brush and lavage to determine the cause of atelectasis. Results Among 184 cases of atelectasis, there were 99 cases of lung cancer （53. 8%）, 52 cases of inflammation （28.3%）, 21 cases of tuberculosis （11.4%）, 4 cases of foreign body in lung（2.2%）, 8 cases of uncertain cause（4.3%）. The diagnostic rate was 95.6%. Major causes of atelectasis were lung cancer （66.7%） in old patients, lung cancer （56.1%） and inflammation（36.4%） in middle-aged patients, tuberculosis （37.8%） and inflammation（29.7%） in young patients. Conclusion Atelectasis is mostly resulted from lung cancer in middle-aged and old patients. The major cause of atelectasis in young patents is tuberculosis and inflammation. Fiberoptic bronchoscopy has an important value in determining the cause of atelectasis.

关 键 词：肺不张 纤维支气管镜检查 

分 类 号：R563.4[医药卫生—呼吸系统]