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目的 :分析X线检查正常的肺咯血患者在纤支镜下病变情况 ,初步探讨纤支镜对于X线检测正常的肺咯血患者在诊断方面的价值。方法 :76例肺咯血患者均采用镜下观察、刷检、活检。结果 :镜下气管管腔、粘膜、血管正常 10 .5 % ,气管粘膜充血、水肿、糜烂、浸润增厚和明显狭窄 30 .3 % ,气管粘膜苍白、纵行皱襞和肉芽肿形成 9.2 % ,气管粘膜充血水肿、可见新生物及坏死组织 10 .5 %。刷洗细胞检出癌细胞 19.7% ,镜下分泌物检出结核杆菌 5 .2 % ,活检检出癌细胞 9.2 %。结论 :纤支镜对X线检查正常的肺咯血患者在早期明确病因诊断方面有较大临床价值
OBJECTIVE: To analyze the pathological changes of patients with hemoptysis under normal circumstances by X-ray and to explore the value of bronchofibroscopy in the diagnosis of patients with hemoptysis with normal X-ray examination. Methods: 76 patients with pulmonary hemoptysis were observed under the microscope, brush test, biopsy. Results: The tracheal lumen, mucosa, normal blood vessels 10.5%, tracheal mucosa congestion, edema, erosion, thickening and stenosis 30.3%, tracheal pale, longitudinal folds and granulomas 9.2% Tracheal congestion and edema, showing 10.5% of new and necrotic tissue. Scrub cells detected 19.7% of cancer cells, microscopic examination of Mycobacterium tuberculosis secretions 5.2%, 9.2% of biopsies detected cancer cells. Conclusion: Fiberoptic bronchoscopy has a great clinical value in the early diagnosis of etiologic diagnosis of patients with hemoptysis with normal X-ray examination