58例咯血病人胸片、胸部CT和纤维支气管镜检查对照分析

目的：探讨胸片，胸部CT和纤维支气管镜（纤支镜）检查对咯血病人的诊断价值。方法：回顾研究58例咯血病人胸片，胸部CT和纤支镜检查结果，并进行对照分析，结果：咯血病人经胸片检查有异常所见40例（69．0％），CT发现异常45例（77．6％），纤支检查有异常所见50 例（86．2％），咯血病因：炎症22例（37．9％），结核7例（12．1％），肿瘤19例（38．2％），及其它10例（17．2％），结论：对于初次咯血病人，胸片检查应为常规，CT检查是胸片的一个重要补充，纤支镜检查对明确病灶性质及咯血原因提供重要依据。

58 Cases of Hemoptysis Were Retrospectively Analyzed by Chest Radiograph, Chest CT Scan and Fiberoptic Bronchoscopy

Objective: To investigate the value of chest radiograph, chest CT scan and fiber bronchoscopy in diagnosis hemoptysis. Method: 58 cases with hemoptysis were retrospectively analyzed by chest radiograph, chest CT scan and fiberoptic bronchoscopy. Results: Abnormalities were founded in 40 cases (69.0%) by radiograph, in 45 cases (77.6%) by CT scan and in 50 cases (86.2%) by fiberoptic bronchoscopy. Among the 50 cases, 22 cases were inflammation, 7 cases were tuberculosis, 19 cases were tumor and the rest were other cases.Conclusions: Radiograph should be used to diagnose hemoptysis, CT scan may be important too, and fiberoptic bronchoscopy is more important in the etiology of hemoptysis.