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纤维支气管镜检查诊断胸腔积液原因分析121例
引用本文:堵玉萍,李樑,王长春. 纤维支气管镜检查诊断胸腔积液原因分析121例[J]. 临床肺科杂志, 2004, 9(4): 359-360
作者姓名:堵玉萍  李樑  王长春
作者单位:上海市中西医结合医院;上海市中西医结合医院;上海市中西医结合医院
摘    要:目的探讨纤维支气管镜检查(FOB)对原因不明胸腔积液的诊断价值,并对其适应症作一讨论。方法将胸腔积液患者分4组:按其患者有伴随症状如咯血,X线胸片有块影或浸润影,伴肺不张或积液同侧容量减少和唯一X线表现者。再将仅有X线胸片表现者据其量的多少分为大量、中等量和小量三组,将胸水常规生化及细胞学检查作为检出肺癌阳性率指标。结果121例原因不明胸腔积液中FOB检查阳性数是42例。结论胸腔积液伴咯血、肺部块影或浸润影、肺不张,作FOB检查是十分必要的。少量和中等量胸腔积液而胸片上无其他征象时,或不伴咯血时FOB价值小。当大量积液时有一定的临床价值。

关 键 词:纤维支气管镜检查  胸腔积液
修稿时间:2004-04-08

Fiberoptic bronchoscopy and the diagnosis of pleural effusion of 121 cases
Du Yupin Li Liang Wang Changcun. Fiberoptic bronchoscopy and the diagnosis of pleural effusion of 121 cases[J]. Journal of Clinical Pulmonary Medicine, 2004, 9(4): 359-360
Authors:Du Yupin Li Liang Wang Changcun
Affiliation:Du Yupin Li Liang Wang Changcun Department of Pulmonary Medicine Shanghai TCM-Intergrated Hospital,Shanghai 200082 China
Abstract:Objective To investigate fiberoptic branchoscopy and the diagnosis of pleural effusion.Methods 2 cases of pleural effusion were analyzed from Jan 1998 to Dec 2003 in Shanghai TCM intergrated Hospital and Shanghai First People's Hospital. These cases were divided into four groups: with or without complicatments and by different volume of effusion. Results 42 of 121 cases were diagnosed by FOB.Conclusion It is necessary to do FOB for those cases with haemoptysis, mass, infiltrations and atelectasis.in large volume of effusion, FOB may be helpful.
Keywords:Fiberoptic branchoscopy Pleural effusion
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