阻塞性肺炎57例病因及临床特点分析

目的探讨阻塞性肺炎病因及临床特点。方法回顾分析阻塞性肺炎57例的临床资料。结果引起阻塞性肺炎的病因中肺癌占71.93%,支气管内膜结核占19.30%、异物占7.02%,支气管乳头状瘤占1.75%。肺癌患者以咳嗽、咳痰、痰血为主要症状,支气管内膜结核患者主要表现低热、干咳。部分肺癌、异物患者WBC、N%增高。X线表现:肺癌伴炎症多以段、叶支气管分布,支气管内膜结核跨叶分布为主,异物嵌顿右侧多见。结论中老年阻塞性肺炎,以肺癌居多。纤支镜对阻塞性肺炎病因诊断具有重要价值,确诊率94.74%。

A analysis of the clinical features and causes of 57 obstructive pneumonia cases

Objective To investigate the clinical features and causes of obstructive pneumonia.Methods The medical records of 57 cases with obstructive pneumonia were retrospectively analyzed.Results Among the causes of obstructive pneumonia,71.93% were identified as lung cancer;while bronchitis membrane tuberculosis occupied 19.30%.7.02% cases of the disease were caused by foreign body in bronchus.Papilloma of bronchus occupied 1.75%.Obstructive pneumonia of lung cancer patients was marked by cough,expectoration and sputum mixed with blood.While bronchitis membrane tuberculosis patients tended to have low fever and dry cough.And some patients of lung cancer and those of foreign body in bronchus saw their WBC、N%lever rising.X-ray show:lung cance with infection was distributed as bronchial segments and bronchial leaves;bronchitis membrane tuberculosis with infection was trans-leave distributed.Foreign body in bronchus frequently appeared in the right lung.Conclusion The middle and aged patients with obstructive pneumonia are mainly caused by lung cancer.Fibro-bronchoscopy test is very important for diagnosing the causes of obstructive pneumonia.The successful diagnosing rate is 94.74%.