纤维支气管镜对老年人咯血病因的诊断

目的：分析老年人咯血与肺癌的关系，纤维支气管镜对肺癌诊断的必要性及应注意的问题。方法：对147例咯血病人进行纤维支气管镜检查并取活体获得病理结果。结果：其中56例（38.1％）诊为支气管肺癌，4例肺结核，1例肺结节病，86例支气管粘膜炎症。结论：老年人小量咯血很可能是肺癌的首发症状，要高度重视，纤维支气管镜对咯血病因的诊断必要且安全。

THE DIAGNOSIS OF SENILE HEMOPTYSIS BY FIBROBRONCHOSCOPY

To analyse the relationship between senile hemoptysis and bronchial pulmonarycarcinoma (BPC), the necessity and cautions of the diagnosis of BPC by fibrobronchoscopy. Methods:To examine 147 patients with hemoptysis by fibrobronchoscopy, and take mucous biopsy and the pathological results. Results: BPC 56 (38. 1 % ), pulmonary tuberculosis 4, pulmonary sarcoidosis 1,bronchial mucous inflammation 86. Conclusion: Moderate hemoptysis of a senile may be the first symptom of BPC and should be paid high attention to. The fibrobronchoscoy examination is a safe and necessary method for the etiology diagnossis of senile hemoptysiss.