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20例老年肺病患者重复纤维支气管镜 (RFB)检查结果表明 :有 16例 (80 % )经RFB检查确诊 ,其中肺癌9例 ,支气管、肺结核 3例 ,肺霉菌病 2例 ,肺炎性假瘤和组织细胞增生症各 1例 ,表明RFB检查对诊断十分必要。对结核科临床专业而言 ,支气管内膜结核、支气管肺癌的鉴别诊断是作RFB检查的重要原因之一。 1次复查的诊断率可达 70 % ,2次、3次复查者诊断纠正率仅 5 % ,表明第 1次复查能使大部分病人确诊。指出充分认识肺癌、支气管内膜结核的内镜下改变 ,根据镜下所见灵活选择取材方法是提高诊断率的关键。在充分准备的情况下对老年人做RFB检查也是安全的。
The results of RFB in 20 elderly patients with pulmonary disease showed that 16 cases (80%) were diagnosed by RFB, including 9 lung cancer, 3 bronchial and tuberculosis cases, 2 pulmonary mycosis, 2 pulmonary pseudotumor and 1 case of histiocytosis, indicating that RFB examination is necessary for diagnosis. For tuberculosis clinical professionals, bronchial tuberculosis, bronchogenic carcinoma of the lung is one of the important reasons for the diagnosis of RFB. A review of the diagnostic rate of up to 70%, 2 times, 3 times the diagnostic recovery rate of only 5%, indicating that the first review can make most patients diagnosed. Pointed out that full understanding of lung cancer, bronchial endocardial tuberculosis endoscopic changes, according to the microscope see the flexible selection method is to improve the diagnostic yield of the key. It is also safe to do an RFB check of the elderly with adequate preparation.