支气管镜诊治肺不张150例临床分析

目的 本研究旨在探讨肺不张不同年龄组病因特点及支气管镜下特征.方法 经胸部影像学检查诊断肺不张的患者,行支气管镜检查,结合钳取活检、刷检、肺泡灌洗吸引、细胞学等检查进行分析.结果 150例肺不张患者经支气管镜检查,病因诊断率达（98.0%）;肺不张常见原因包括肿瘤（38.0%）,炎症（26.7%）,粉尘（22.0%）,结核（6.0%）,外伤（3.3%）;分析得出老年组肺不张以肺癌、炎症、粉尘为主;中年组肺不张以肺癌、炎症为主;青年组肺不张以结核、炎症多见.结论 支气管镜检查对肺不张具有直接观察、病因诊断及治疗的重要作用.

Clinical analysis of 150 patients with atelectasis diagnosed and treated by bronchoscopy

Objective To explore the characteristics of atelectasis etiology in patients at different ages under bronehoscope. Methods Patients with atelectasis confirmed by chest radiographic examination were given bronchoscopy, combined with biopsy, brush, attracted alveolar lavage, and cytology. Results The diagnostic rate of etiology was 98%, and the causes of atelectasis included tumor （38%）, inflammation （26. 7% ）, dust （22%）, tuberculosis （6%） and trauma （3.3%）. The analysis showed that elderly patients with atelectasis were easily caused by lung cancer, inflammation, and dust, middle-aged patients caused by lung cancer and inflammation, and young patients caused by tuberculosis and inflammation. Conclusion Bronchoscopy check on patients with atelectasis plays an im- portant role in direct observation, etiology analysis, and diagnosis and treatment.