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为了评价CT 对咯血的诊断价值,对32例咯血病人的胸部CT 和胸部X 光片(简称CR)作了对比分析。男21例,女11例.CR 异常者22例(肿块型14型,8例实质性浸润),正常者10例。CT 结果:除1例外31例不正常,CT 和CR 结果差异显著(p<0.01).CT 和CR 结果不一致的有12例。其中5例咯血原因不清者CR 表现为2例肿块、3例渗出性改变;而CT 诊断肺癌3例,炎症2例.CT 为15例提供了新的诊断依据,其中包括CR 正常者9例.经纤维支气管镜检查31例,26例查明了出血部位(83.8%)。出血部位和CR 结果相符的17例(65.4%),和CT 相符的23例(88.5%),p<0.05。3例CR 正常,CT 所见为浸润,和纤支镜确诊的出血部位一致。只有2例纤支镜检查仍诊断不清,CT 提供了诊断资料,1例为足分支菌病,特点是支气管增厚和支气管扩张一致,支气
In order to evaluate the value of CT in the diagnosis of hemoptysis, the CT and chest X-ray films (referred to as CR) of 32 patients with hemoptysis were compared. There were 21 males and 11 females.The abnormalities of CR were 22 cases (mass type 14, 8 cases of substantial infiltration) and 10 cases were normal. CT results: There were 31 cases with abnormalities except 1, the results of CT and CR were significantly different (p <0.01), 12 cases were inconsistent with the results of CT and CR. Among 5 patients with unclear hemoptysis, CR showed two masses and three patients with exudative changes, while CT diagnosis of lung cancer in 3 cases and inflammation in 2 cases.CT provided a new diagnostic basis for 15 cases, including CR normal 9 Cases of bronchoscopy 31 cases, 26 cases identified bleeding site (83.8%). 17 cases (65.4%) matched with CR and 23 cases (88.5%) matched CT, p <0.05.3 CR was normal, CT was infiltrated, and the site of hemorrhage confirmed by fiberoptic bronchoscopy was the same. Only 2 cases of bronchoscopy still unclear diagnosis, CT provides diagnostic information, 1 case of mycosis, characterized by bronchial thickening and bronchiectasis consistent, bronchus