老年肺不张患者的纤维支气管镜检查(附425例纤支镜检查分析)

目的 :对 44 0例老年肺不张探讨。方法 :经纤支镜活检、刷检、涂片、病理确诊。结果 :肺癌发病率最高 ,经纤支镜活检确诊 2 2 0例 ,胸水找到癌细胞 15例 ,共占 5 3 4 %。炎症 16 4例 ,占 37 2 %,肺结核 37例占 8 4 %,支气管结石 4例 ,占1%。结论 :目前临床上纤支镜检查仍为明确肺不张病因的主要手段 ,尤其是临床治疗效果不佳时 ,早期行纤支镜检查获得病理结果非常重要。

440 Bronchofiberscopy for elderly patients with pulmonary atelectasis (Attaching 425 cases analyses of bronchofiberscopy)

Objective:To study 440 elder patients with pulmonary atelectasis.Methods:To diagnose pulmonary atelectasis with biopsy and brush biopsy through bronchofiberscope and pathological examination.Results:The most common cause of pulmonary atelectasis was lung cancer, which accounts for 53.4%. Among those cases, there were 220 cases diagnosed with bronchofiberscope biopsy, and 15 cases diagnosed with cancer cell found in pleural effusion. Other casues leading to pulmonary atelectasis were, in turn, pneumonia (164 cases, 37.2%), tuberculosis (37 cases, 8.4%) and broncholithiasis (4cases, 1%).Conclusion:It was considered that the bronchofiberscopy was important in the pathological diagnosis for pulmonary atelectasis, especially while therapy effect did not come up to expection.