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目的 回顾性分析纤支镜检查对 70岁以上疑似肺癌患者的诊断价值与安全性。方法 70 4例X线胸片异常疑似肺癌施行纤支镜检查 ,术前常规做出疑血时间、心电图、动脉血气分析 ,异常者术中予以吸氧及心电监护。采取改良贾克森氏喷雾法及术中分段喷雾麻醉。术中发现病变做刷检、钳检、冲洗物等检查。结果 70 4例中 484例确诊为肺癌 ,其中鳞癌 2 90例、腺癌 1 2 3例 ,小细胞癌 35例 ,鳞腺混合癌 9例 ,未定型 2 7例。 62例心电图有ST T波改变 ,1 8例氧分压 50mmHg ,经吸氧后氧分压上升到 70mmHg再施术 ,均未发现有明显不良反应。结论 纤支镜检查对 70岁以上患者是安全的 ,对疑似肺癌有较大的诊断价值
Objective To retrospectively analyze the diagnostic value and safety of bronchofibroscopy in patients over 70 years old with suspected lung cancer. Methods 70 cases of suspected X-ray chest lung cancer suspected bronchoscopy, preoperative routine to make suspected blood time, electrocardiogram, arterial blood gas analysis, abnormal intraoperative oxygen and ECG monitoring. Take improved Jaxon’s spray method and intraoperative sub-spray anesthesia. Intraoperative lesions were detected brushing, pliers, flushing and other tests. Results Of 704 cases, 484 cases were diagnosed as lung cancer, including 2 90 cases of squamous cell carcinoma, 123 cases of adenocarcinoma, 35 cases of small cell carcinoma, 9 cases of mixed squamous cell carcinoma and 27 cases of unspecified type. 62 cases of ST T wave ECG changes, 18 cases of partial pressure of oxygen 50mmHg, the partial pressure of oxygen rose to 70mmHg re-operation, no significant adverse reactions were found. Conclusion Bronchofiberscopy is safe for patients over 70 years old and has a great diagnostic value for suspected lung cancer