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作者认为在处理原因不明的胸腔积液时,作纤支镜检的理由有3点:①支气管癌是引起胸腔积液最常见的肿瘤;③胸水细胞学检查或胸膜活检的诊断结果常不能令人满意;③在为大量恶性胸水患者制订治疗方案前,应先排除导致肺不张或阻塞性肺炎的中心支气管癌。本文为评价纤支镜在诊断原因不明的胸腔积液中的临床价值,而对一组患者进行了前瞻性研究。观察对象为140(男115,女25)例病因待查的胸腔积液患者,平均年龄55(27～82)岁。大多有咳
The authors believe that in the treatment of unexplained pleural effusion, bronchoscopy for three reasons: ① bronchial cancer is the most common cause of pleural effusion; ③ pleural fluid cytology or pleural biopsy diagnosis can often not result People are satisfied; ③ in the preparation of treatment plans for a large number of patients with malignant pleural effusion, should be excluded from leading to atelectasis or obstructive pneumonia in central bronchial cancer. This article is to evaluate the clinical value of bronchofibroscopy in the diagnosis of unexplained pleural effusion, and a prospective study of a group of patients. The mean age was 55 (range, 27 to 82) years for patients with pleural effusion whose etiology was 140 (male 115, female 25). Mostly cough