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| 单纯性支气管内膜结核临床及纤维支气管镜下特点分析 | |
| 引用本文： | 刘祥怀,潘小进,余燕,杨增华,陈大勇. 单纯性支气管内膜结核临床及纤维支气管镜下特点分析[J]. 临床肺科杂志, 2010, 15(3): 352-353 |
| 作者姓名： | 刘祥怀 潘小进 余燕 杨增华 陈大勇 |
| 作者单位： | 东台,东台市人民医院(南通大学附属东台医院)呼吸科,江苏,224200 |
| 摘 要： | 目的探讨单纯性支气管内膜结核的临床及纤维支气管镜下特点。方法回顾性分析本院经纤支镜检查后确诊单纯性支气管内膜结核66例的临床、X线和纤支镜下表现。结果主要症状为干咳,少数伴咳痰、咯血、发热、气急,体征有局限性干啰音,呼吸音减弱,少数呈广泛哮鸣音。X线表现为肺不张,肺内块状阴影,16例(24%)患者胸片无异常发现。纤支镜下所见分为浸润型,溃疡型,肉芽增殖型,疤痕型。钳检病理学阳性率62.7%,刷检物涂片抗酸杆菌阳性率74.6%。结论单纯性支气管内膜结核的临床症状与X线表现无特征性,纤支镜检查中联合活检组织病理及刷检物涂片抗酸杆菌检测是有效的诊断手段。 |
| 关 键 词： | 支气管内膜结核 纤维支气管镜 |
Clinical and bronchoscopic features of simple endobronchial tuberculosis |
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| LIU Xiang-huai,PAN Xiao-jin,YU Yan,YANG Zeng-hua,CHEN Da-yong. Clinical and bronchoscopic features of simple endobronchial tuberculosis[J]. Journal of Clinical Pulmonary Medicine, 2010, 15(3): 352-353 | |
| Authors: | LIU Xiang-huai PAN Xiao-jin YU Yan YANG Zeng-hua CHEN Da-yong |
| Affiliation: | LIU Xiang-huai,PAN Xiao-jin,YU Yan,YANG Zeng-hua,CHEN Da-yong Department of Respiratory Medicine,Dongtai Hospital Affiliated with Nantong University,Dongtai,Jiangsu Province 224200,China |
| Abstract: | Objective To explore the clinical and bronchoscopic features of simple endobronchial tuberculosis.Methods Clinical symptoms,chest X--ay/CT manifestations and bronchoscopic findings of 66 cases with simple endobronchinal tuberculosis were retrospectively investigated.Results Main symptoms were as follows:cough,sputum production,fever,haemoptysis,and dyspnea.Clinical signs included localized rhonchi,decreased breath sounds,wheeze. Roentgenographic appearance were atelectasis in 31(47%) and mass lesion in 19 (... |
| Keywords: | endobronchial tuberculosis fiberobronchoscopy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |