Goy J J, Favez G
Schweiz Med Wochenschr. 1984 Feb 11;114(6):190-5.
A report is presented on 20 patients with cryptogenetic hemoptysis. The following investigations are necessary and sufficient for diagnosis: history, physical examination, chest roentgenogram in posteroanterior and lateral projection, fiberoptic bronchoscopy with bacterial and cytologic analysis of bronchial brushing material, and determination of coagulation factors. Further explorations can be regarded as unnecessary since the above program discloses the cause of hemoptysis in more than 90% of cases. The prognosis of cryptogenetic hemoptysis was good in the 20 cases studied, which were followed up for 1 to 12 (mean 5.5) years.
本文报告了20例隐源性咯血患者。以下检查对于诊断既必要又充分:病史、体格检查、胸部正位和侧位X线片、纤维支气管镜检查及支气管刷检材料的细菌学和细胞学分析,以及凝血因子测定。由于上述检查方案能在90%以上的病例中揭示咯血原因,因此进一步的检查可被视为不必要。在研究的20例患者中,隐源性咯血的预后良好,随访时间为1至12年(平均5.5年)。