经支气管肺活检在尘肺诊断中初步应用  

Preliminary Application with Transbronchial Lung Biopsy in the Diagnosis of Pneumoconiosis

作　　者：胡一本[1] 马国云[1] 王志红[1] 彭娟娟[1] 毛翎[1] 李全路 

机构地区：[1]上海市职业病医院,上海200433

出　　处：《劳动医学》2000年第4期201-203,共3页

摘　　要：[目的 ]探讨经支气管肺活检在尘肺诊断中价值。 [方法 ]对 12 8例接尘者作经支气管肺活检及病理上对纤维化、粉尘沉着作检测。 [结果 ]尘肺待诊病例与病理确诊相关达 83 9% ,有助于鉴别诊断 ,并且病理特殊染色在尘肺病因学诊断中起重要作用。 [结论 ]经支气管肺活检作为辅助手段 ,对尘肺诊断。Objective] Significance of the application of transbronchial lung biopsy in the diagnosis of pneumoconiosis was explored. [Methods] The transbronchial biopsy was performed and pathological examination for detecting lung fibrosis and dust deposit was conducted in 128 dust exposed workers. [Results] The rate of diagnosis for suspicious pneumoconiosis cases in accord with pathological evidence of fibrosis lesions and dust deposit was 83.9%. Pathological examination of biopsy tissue can help the differential diagnosis. The special staining examination plays an important role in pathogenic diagnosis. [Conclusion] As a supplemental method transbronchial lung biopsy has an obvious significance in the diagnosis and differential diagnosis of pneumoconiosis.

关 键 词：经支气管肺活检(TBLB) 尘肺 肺纤维化 粉尘沉着 诊断 鉴别诊断 

分 类 号：R135.2[医药卫生—劳动卫生]