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目的:探讨高原地区纤维支气管镜(纤支镜)检查在不同年龄组肺不张病因诊断中的价值。方法:对我院来自高原地区(海拔2 500m～4 000m)2007年6月—2010年12月CT诊断肺不张150例患者,按年龄分为老年、中年和青年组,经纤支镜观察、活检、刷检、灌洗等明确诊断。结果:150例肺不张中,肺癌86例(57.3%),炎症34例(22.7%),结核28例(18.9%),异物2例(1.3%)。老年组肺癌(71.6%)占首位;中年组以肺癌(55.1%)和炎症(30.1%)为主;青年组结核(40.7%)和炎症(29.6%)多见。结论:中老年肺不张多数为肺癌所致,青年人肺不张以结核和炎症多见。纤支镜检查是确定肺不张病因的最主要手段,并能指导肺不张的治疗。
Objective: To investigate the value of fiberoptic bronchoscopy in the diagnosis of etiology of atelectasis in different age groups. Methods: A total of 150 patients with atelectasis diagnosed in our hospital from the plateau (elevation 2 500m ~ 4 000m) from June 2007 to December 2010 were divided into the elderly, middle-aged and young patients according to their age, Observation, biopsy, brush examination, lavage and other clear diagnosis. Results: Of the 150 atelectasis cases, 86 (57.3%) had lung cancer, 34 (22.7%) had inflammation, 28 (18.9%) had tuberculosis and 2 (1.3%) had foreign body. Lung cancer (71.6%) accounted for the first place in the elderly group, while lung cancer (55.1%) and inflammation (30.1%) were the most common in the middle-aged group. Tuberculosis (40.7%) and inflammation (29.6%) were common in the youth group. Conclusion: The majority of middle-aged and elderly patients with atelectasis due to lung cancer, young people with atelectasis of tuberculosis and inflammation more common. Bronchoscopy is to determine the cause of atelectasis the most important means, and can guide the treatment of atelectasis.