Brikmanis E P, Freĭnate A A, Zaleskiĭ R R
Ter Arkh. 1987;59(3):95-7.
The authors have analyzed their experience in the diagnosis and treatment of 32 patients with broncholiths-induced obturation of the segmentary and lobar bronchi with subsequent prolonged recurring inflammatory, cirrhotic or suppurative bronchopulmonary processes farther to a site of bronchial obstruction. 37% of the patients only knew of primary tuberculosis. Chest pains were noted in 50%, hemoptysis in 40%. The rest of the symptoms were not characteristic. Therefore true diagnosis was established, as a rule, in a late period. Patients with broncholiths were treated for many years with the diagnosis of recurring pneumonia, cirrhotic or suppurative processes. Bronchoscopy is a method of choice because broncholiths can be found in a visible zone of the bronchial tree. The earlier bronchoscopy is performed, the easier and better can be the patients' cure.
作者分析了他们对32例支气管结石导致节段性和叶性支气管阻塞患者的诊断和治疗经验，这些患者随后在支气管阻塞部位更远的地方出现了长期反复的炎症、硬化或化脓性支气管肺病变。37%的患者仅知道有原发性肺结核。50%的患者有胸痛，40%有咯血。其余症状无特异性。因此，通常在晚期才能确立确切诊断。支气管结石患者多年来一直被诊断为复发性肺炎、硬化或化脓性病变并接受治疗。支气管镜检查是首选方法，因为可以在支气管树的可视区域发现支气管结石。支气管镜检查进行得越早，患者治愈就越容易且效果越好。
