摘要
目的 分析咯血的病因 ,评价影像检查与纤支镜检查对咯血病因诊断的价值。方法 回顾性分析 1995年 10月至 2 0 0 3年 11月间的 319例咯血患者的影像、纤支镜与临床资料。男 170例 ,女 14 9例 ,年龄 2 3～ 84岁 ,平均 5 9 5岁。结果 胸片与纤支镜对咯血的病因诊断率不高 ,分别为 39 81%、 4 2 31%。在各种检查方法中 ,CT的诊断率最高 ,为 6 6 4 6 %。CT与纤支镜相结合可提高对咯血病因诊断率 ,达72 4 1%。CT对血管性病变的诊断价值有限。结论 影像检查是诊断咯血病因的重要手段 。
Objective To analyse the different causes of hemoptysis,and to evaluate the diagnosis of image examination and bronchoscopy.Methods A retrospective analysis of 319 patients with hemoptysis in our hospital between October 1995 and November 2003 was performed.One hundred and seventy were male and 149 were female.The average age was 59.5 years ranging from 23 to 84 years.Results Plain chest radiograph and bronchoscopy had a low positive diagnostic rate with 39.81% and 42.31%,respectively.Chest CT had the highest diagnostic rate with 66.46%.With the combination of CT and bronchoscopy,the diagnostic rate increased to 72.41%.CT was limited in the diagnosis of vascular disease.Conclusion Imaging examination is the important diagnostic method for hemoptysis.The combination of bronchoscopy and chest CT is helpful in evaluating hemoptysis.
出处
《中华急诊医学杂志》
CAS
CSCD
2004年第11期755-757,共3页
Chinese Journal of Emergency Medicine
基金
广东省科技计划项目 (ZKM0 44 0 2S)
