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对250 例肺不张患者进行纤维支气管镜检查,242 例获得病因诊断,诊断率为96 .8% ,其中140 例肺癌取得病理证据。发现原因中肺癌占56 % ,炎症占35.6 % ,结核占3.2 % ,支气管异物占1.6% ,结节病占0.4% 。同时资料表明,癌性肺不张占肺不张的首位,而右肺中叶不张以炎症原因最多。140 例肺癌病理分型中鳞癌80 例,占57 .1% ,小细胞肺癌32 例,占22.6 % ,腺癌28 例,占20% 。认为纤维支气管镜检查对于肺不张患者的病因诊断具有重要价值
A total of 250 patients with atelectasis were examined by fiberoptic bronchoscopy, and 242 patients were diagnosed by etiology. The diagnostic rate was 96.8%, of which 140 cases were pathologically confirmed. The causes of lung cancer accounted for 56%, inflammation accounted for 35.6%, tuberculosis 3.2%, bronchial foreign body accounted for 1.6%, sarcoidosis 0.4%. At the same time the data show that cancerous atelectasis accounted for the first place of atelectasis, and the middle of the right lung atelectasis to the most causes of inflammation. There were 80 cases of squamous cell carcinoma (57.1%) in 140 cases of lung cancer, 32 cases of small cell lung cancer (22.6%) and adenocarcinoma (20%). That fiberoptic bronchoscopy for the diagnosis of etiology in patients with a diagnosis of great value