咯血且胸部X线片正常患者的纤维支气管镜检查

Fiberoptic bronchoendoscopic examination in patients with haemoptysis and normal chest roentgenogram.

作者信息

Jindal S K, Gilhotra R, Behera D

机构信息

Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh.

出版信息

J Assoc Physicians India. 1990 Aug;38(8):548-9.

PMID:2246191

Abstract

The role of flexible fiberoptic bronchoendoscopic (FOB) examination was evaluated in a retrospective analysis in 155 patients with unexplained haemoptysis and normal chest skiagrams. The procedure was helpful in reaching a specific diagnosis in 11 (7.1%) patients, 4 of whom revealed mycobacteria in bronchial secretions and 7 had neoplastic lesions. In another 68 (43.9%) cases only non-specific findings like inflammation were found, but the site of abnormality could be localized. We recommend the use of FOB in the routine assessment of haemoptysis.

摘要

对155例不明原因咯血且胸部X线平片正常的患者进行回顾性分析，评估了可弯曲纤维支气管镜（FOB）检查的作用。该检查有助于11例（7.1%）患者明确诊断，其中4例在支气管分泌物中发现分枝杆菌，7例有肿瘤性病变。在另外68例（43.9%）病例中，仅发现炎症等非特异性表现，但可定位异常部位。我们建议在咯血的常规评估中使用FOB。