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纤维支气管镜(FOB)是评价咯血的一种有效的诊断方法,但X线胸片正常的咯血病人是否就是FOB检查的适应症还有争议。作者对48例经FOB检查X线胸片正常的咯血病人进行了回顾性分析和文献复习,男27例,女21例。年龄19～88岁,其中12例<40岁。病人48小时内的咯血量均未超过600ml,咯血持续时间1日～18个月。FOB检查结果:支气管炎34例。4例获得特异性诊断,其中气管隆突良性纤维肌性息肉和结核各1例,肺癌2例。这4例年龄均>50岁,并有
Fiberoptic bronchoscopy (FOB) is an effective diagnostic method for the diagnosis of hemoptysis. However, it is still controversial whether the chest X-ray patients with normal hemoptysis are indications of FOB examination. The authors retrospectively reviewed and reviewed 48 cases of normal hemoptysis patients undergoing FOB X-ray examination. There were 27 males and 21 females. Aged 19 to 88 years old, of which 12 cases <40 years old. Patients within 48 hours of hemoptysis did not exceed 600ml, duration of hemoptysis from 1 to 18 months. FOB test results: bronchitis in 34 cases. 4 cases obtained specific diagnosis, including bronchiectasis of benign fibrous muscle polyps and tuberculosis in 1 case, 2 cases of lung cancer. These four cases were all> 50 years old and had