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本文总结了69例胸腔积液患者纤维支气管镜检查结果。所见病变位于胸水同侧者61例,对侧1例,双侧3例,4例未见异常。可见肿瘤直接征象者32例,充血水肿11例,管腔狭窄9例、管壁受外压10例。大中量胸水病例纤支镜检查约半数可见新生物,少量胸水者也有7例可见。参出性胸水24例中,可见新生物15例,充血水肿4例,外压3例,未见异常2例,而血性胸水5例,仅2例可见新生物。本组明确病因者55例,其中通过纤支镜检查证实者45例,占81.8％。
This article summarizes the results of fibrobronchoscopy in 69 patients with pleural effusion. The lesions were located in the same side of the pleural effusion in 61 cases, 1 contralateral, bilateral in 3 cases, 4 cases without exception. Visible tumor direct signs in 32 cases, congestion and edema in 11 cases, stenosis in 9 cases, the wall by external pressure in 10 cases. Large and medium amount of pleural effusion bronchoscopy about half of the visible new creatures, a small amount of hydrothorax were also seen in 7 cases. Among the 24 patients with parametrial pleural effusion, 15 were new organisms, 4 were hyperemia and edema, 3 were external pressure, 2 were abnormal, and 5 were bloody pleural effusion. Only 2 new ones were seen. The group of clear causes of 55 patients, of which 45 were confirmed by fiberoptic bronchoscopy, accounting for 81.8%.