摘要
目的探讨老年咯血患者的病因及临床特征,提高对老年咯血患者的认识,争取早诊断早治疗。方法对门诊及住院老年咯血患者进行胸部CT、纤维支气管镜、PPD试验、痰找抗酸杆菌,脱落细胞学,病理学检查等以明确诊断,并对出血量进行统计。结果对167例老年咯血患者的病因及咯血量分析,其中肺癌占首位(34.1%),且以小量咯血为主(80.7%),其次为支气管扩张及肺结核,分别以中等量及少量为主。结论老年咯血的原因较复杂,其中以肺癌、支气管扩张、肺结核最为常见。对于新近出现的间断或持续的难以治愈的痰中带血或小咯血应首先考虑肺癌。
Objective To investigate the etiology and clinical characteristics of elderly patients with hemoptysis,enhance the awareness of hemoptysis in elderly patients and strive for early diagnosis and early treatment. Methods Approach to outpatients and inpatients with senile patients with hemoptysis from chest CT, fiber bronchoscope, PPD tests, sputum for acid-fast bacilli, exfoliative cytology and pathology examination, diagnosis, and statistics on blood loss. Results On 167 cases of senile patients with hemoptysis, lung cancer accounts for the first of which （34.1%）, and is dominated by small amount hemoptysis （80.7%）, followed by tuberculosis and bronchiectasis, a moderate amount and a small amount of each primary. Conclusion More complex causes of hemoptysis in elderly, of which, bronchiectasis, tuberculosis of lung cancer the most common.
出处
《中国实用医药》
2012年第34期3-4,共2页
China Practical Medicine
关键词
咯血
老年
支气管扩张
肺结核
Hemoptysis
Elderly patients
Lung bronchiectasis
Pulmonary tuberculosis -
