De Fenoyl O, Lebargy F, Brechot J M, Laaban J P, Rochemaure J
Ann Med Interne (Paris). 1985;136(7):555-8.
The authors report the results of a retrospective study of 427 fiberoptic bronchoscopies in patients with haemoptysis. The patients were classified into 4 groups according to the results: Group I: a specific diagnosis was made (cancer, tuberculosis, infection); 151 cases (35 p. 100); Group II: inflammatory mucosa, 172 cases (40 p. 100); Group III: normal bronchoscopy, 84 cases (20 p. 100); Group IV, only blood, 20 cases (5 p. 100). Of the 151 patients in Group I, 12 had a normal chest X-ray (8 p. 100); seven of them had bronchopulmonary carcinoma (7 out of 65 cases of cancer: 10.7 p. 100). These results show that bronchoscopy is essential in cases of haemoptysis even when the chest X-ray is normal.
作者报告了对427例咯血患者进行纤维支气管镜检查的回顾性研究结果。根据检查结果，患者被分为4组：第一组：做出了明确诊断（癌症、肺结核、感染）；151例（占35%）；第二组：黏膜炎症，172例（占40%）；第三组：支气管镜检查正常，84例（占20%）；第四组：仅见血液，20例（占5%）。在第一组的151例患者中，12例胸部X线检查正常（占8%）；其中7例患有支气管肺癌（65例癌症患者中的7例：占10.7%）。这些结果表明，即使胸部X线检查正常，支气管镜检查在咯血病例中也是必不可少的。
