痰热壅肺证肺炎患者纤维支气管镜象表现初探

目的：通过研究中医辨证为痰热壅肺证肺炎患者纤维支气管镜象表现的特征，探讨纤维支气管镜象与中医证型的相关性。方法收集36例门诊或住院病人接受纤维支气管镜检查并符合痰热壅肺证肺炎患者作为研究对象，对其纤维支气管镜象表现进行分类比较。结果痰热壅肺证肺炎各例患者纤维支气管镜下色泽表现以充血为主，占77.8%；形态以水肿为主，占47.2%；分泌物以黄白粘痰为主，各占27.8%和38.9%.结论痰热壅肺证肺炎患者纤维支气管镜象表现主要为充血、水肿及黄白粘痰。

The Discussion of the Expression Observed by Fiber Bronchoscope of the Patients Who Caught Pneumonia and Diagnosed with Syndrome of Phlegm-heat Obstructing Lung

Objective Discuss the relationship between the expression of fiber bronchoscope and TCM syndrome by researching the expression of fiber bronchoscope of the patients of syndrome of phlegm-heat obstructing lung. Methods Collected 36 patients who were diagnosed with syndrome of phlegm-heat obstructing lung and accept the check of fibre bronchoscopy, observed the expression of fiber bronchoscope of these patients. Results The main color observed by fiber bronchoscope of these patients who were diagnosed with syndrome of phlegm-heat obstructing lung was congestion, accounted for 77.8%, the main form was edema, accounted for 47.2%, the main secretions was yellow and white phlegm, each accounted for 27.8% and 38.9%. Conclusion The main expression observed by fiber bronchoscope of these patients who were diagnosed with syndrome of phlegm-heat obstructing lung was congestion, edema, and yellow and white phlegm.