【摘要】 目的 探讨纤维支气管镜检对45岁以上中老年咯血患者病因诊断的价值。方法 分析1991年～2001年本院93例45岁以上咯血患者的纤维支气管镜检查结果。结果 93例中纤支镜检查示肺癌者38.7 % (31例肺癌和5例肺癌合并结核病者 ) ;结核病者37.6 % (35例 ) ;慢性炎症者21.5% (20例 ) ;急性炎症者5.4 % (5例 ) ;支气管扩张者2.2%(2例)。结论 45岁以上中老年咯血患者的主要病因为肺癌与结核病。两者有伴发现象 ;纤支镜下常规刷检或组织活检找癌细胞和结核杆菌是简便快捷的鉴别方法更多还原

【Abstract】 Objective To study the diagnosis value of fibrobronchoscope for middle-old age hemoptysis. Methods Analyse the 93 results of fiberoptic bronchoscopy for middle-old age hemoptysis between 1991 and 2001. Results In 93 hemoptysis patients, lung cancer was 38.7%, tuberculosis 37.6%,chronic inflammation 21.5%, acute inflammation 5.4%, bronchiectasis 2.2%. Conclusion The main causes of middle-old age hemoptysis is lung cancer and tuberculosis. The two causes often accompany together. fiberoptic bronchoscopy routine brush or biopsy is the convenient identification method. <更多还原