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目的:通过对患者的右肺中叶不张进行诊断,来探讨患者右肺中叶不张的病因。方法:选取我院2015年3月至2017年3月接收的130例右肺不张患者为此次的研究对象,所有患者均采用纤维支气管镜进行检查,并对患者的临床资料进行回顾性分析。结果:130例患者中有115例患者经纤维支气管镜检查、支气管分泌物、纤维支气管镜下病理组织学、细胞学和细菌学检查被确诊为右肺中叶不张,12例患者在手术中或胸腔镜、随访观察等辅助检查措施下被确诊,剩余3例患者未得到明确的诊断结果。研究结果表明,肿瘤是右肺不张患者的主要病因,其中,患有肿瘤疾病的患者有59例(45.4%),其次为炎症患者,共有36例(27.7%),结核病患者有14例(10.8%),痰栓患者有8例(6.2%),右肺有异物的患者有7例(5.4%),还有6例(4.6%)右肺中叶不张患者的病因不明确。结论:纤维支气管镜检查是明确肺不张病因的有效检查方法,对于病因不明确的右肺中叶不张患者而言,在临床上可以采用纤维支气管镜进行检查和诊断。
OBJECTIVE: To investigate the etiology of mid-lobe atelectasis in patients by diagnosing a patient’s right middle lobe atelectasis. Methods: A total of 130 patients with right atelectasis were selected from March 2015 to March 2017 in our hospital. All patients were examined by fiberoptic bronchoscopy. The clinical data of the patients were retrospectively analyzed . RESULTS: Of the 130 patients, 115 were diagnosed bronchoscopically with bronchial secretions, fibroscopic histopathology, cytology and bacteriological examination as mid-right atelectasis in the right lung, 12 in surgery or Thoracoscope, follow-up observation and other auxiliary tests were diagnosed, the remaining three patients did not get a clear diagnosis. The results showed that the tumor was the main cause of right atelectasis in patients, of which 59 (45.4%) were patients with tumor diseases, followed by inflammatory patients, a total of 36 cases (27.7%), tuberculosis patients 14 cases 10.8%), sputum suppository in 8 (6.2%), right lung foreign body in 7 (5.4%), and 6 (4.6%) right middle lobe atelectasis in patients with etiology is not clear. Conclusion: Fiberoptic bronchoscopy is an effective method to detect the cause of atelectasis. For patients with unexplained right middle lobe atelectasis, bronchoscopy can be used to diagnose and diagnose atelectasis.