肺部弥漫性粟粒样病变100例疾病分析

本文分析100例肺部X线表现为弥漫性粟粒样病变的病因，结果如下：转移性肺癌30例，矽肺26例，肺部感染19例，急性票粒型结核9例，慢性特发性弥漫性肺纤维化、肺泡细胞癌各2例，结节病、肺出血一肾炎综合征、药物性皮炎、肺含铁血黄素沉着症各1例，原因不明8例。诊断弥漫性粟粒样肺部疾病，纤支镜检是目前最适当、有效的方法。本组中59例作了纤支镜检查，诊断率为86．4％。

Analysis of results in 100 cases with diffuse miliary pulmonary disease

100 Patients manifested as diffuse miliary pulmonary disease on chest X-rayfilms were studied. The diagnostic results were as follows: metastatic carcinoma ofthe lung 30, sllicosis 26 cases, pulmonary infection 19, miliary tuberculosis 9, dif-fuse interstitial pulmonary fibrosis 2, bronchiole-alveolar carcinoma 2, sarcaidosls,Goodpasture syndrome, drug reaction and idopathic pulmonary hemosiderosis onecase, respectively. Unknown etiology is 8 cases. Bronchofibroscopic examination isa superior method for diagnosis of diffuse miliary pulmonary disease. The positivediagnostic tate of bronchoflbroscopy was 86. 4 %.