单纯气管支气管结核60例临床分析

目的：探索单纯气管支气管结核的临床特征及诊断。方法：分析60例单纯气管支气管结核的临床表现，实验室检查，胸部X线及胸部CT表现及纤维支气管镜检查结果。结果：临床表现为咳嗽，喘鸣，发热，胸部X线表现为：肺不张，局限性肺气肿，纤维支气管镜检查结果：黏膜炎性浸润型占43．3％，黏膜溃疡或干酪坏死型占28．3％，肉芽增殖型占16．7％，瘢痕狭窄型11．7％，结论：纤维支气管检镜查是诊断气管支气管结核的最重要的方法。对了解 病情，指导治疗，预测预后有重要意义。

The study of 60 cases with tuberculosis only in trachea or bronchia

Objective To study the clinical features and diagnosis method of cases with tuberculosis only in trachea or bronchia. Methods 60 cased only with tuberculosis in trachea or bronchia were diagnosed by fiberoptic bronchoscope were investigated. Results Most cases had symptoms such as duycough, wheezing, And the manifestations of chest X films include a pulmonary atelectasis or localized lung emphysema. There were 4 types manifestations in fiber optics bronchoscope; 43.3% were in type 1 mucosa infiltrated by inflammation; 28.3% were in type 2 Ulcers of caseating necrosis in mucosa; 16.7 % were in type 3 Granulation proliferation; 11.7% were in Type 4 Constriction with scars.Conclusions The fiberoptic bronchoscope was the most effective method for the diagnosis of trachea tuberculosis and bronchia tuberculosis, which can contribute significantly to the unerstanding of the illness, disease including prognosis, diagnosis and treatment.