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纤维支气管镜肺活检对疑难肺部疾病的诊断价值及174例分析
引用本文:耿志明,李学义. 纤维支气管镜肺活检对疑难肺部疾病的诊断价值及174例分析[J]. 徐州医学院学报, 1988, 0(2)
作者姓名:耿志明  李学义
作者单位:南京市鼓楼医院呼吸内科(耿志明),解放军第83医院(李学义)
摘    要:本文报告174例经纤维支气管镜肺活检对疑难的肺部疾病的诊断,确诊率为77.01%,无1例有外伤性气胸,91.2%的病人耐受良好或尚好,确诊的疾病以特发性肺间质纤维化占首位,其次为各种类型的肿瘤、矽肺、结核和其它少见的肺间质性疾病。本法并发症少,诊断率高,是一种安全可靠的诊断方法。

关 键 词:肺活检  纤维支气管镜  肺疾病  诊断应用  人类

THE DIAGNOSTIC VALUE OF TRANSFIBEROPTIC BRONCHOSCOPIC LUNG BIOPSY IN 174 DIFFICULT CASES OF PULMONARY DISEASES
Geng Zhiming and Li Xueyi. THE DIAGNOSTIC VALUE OF TRANSFIBEROPTIC BRONCHOSCOPIC LUNG BIOPSY IN 174 DIFFICULT CASES OF PULMONARY DISEASES[J]. Acta Academiae Medicinae Xuzhou, 1988, 0(2)
Authors:Geng Zhiming and Li Xueyi
Abstract:Transfiberoptic bronchoscopic lung biopsy ( TBLB ) was performed in 174 difficult cases of pulmonary diseases and a total diagnostic rate of 77.01% was achieved. No traumatic pneumothorax was encountered; 91.2%patients tolerated the procedure quite well or fairly well. The diagnosis established by TBLB in this series were, in order of frequency, idiopathic pulmonary interstitial fibrosis, and different types of cancer, silicosis and tuberculosis, and other rare interstitial lung diseases. This technique introduces few complications, yields high diagnostic accuracy,and is safe and reliable in diagnosing difficult cases of pulmonary diseases.
Keywords:lung biopsy  fiberoptic bronchoscopy  pulmonary disease diagnostic use  human
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