摘要
目的 :探讨胸片、胸部CT和纤维支气管镜 (纤支镜 )检查对咯血病人的诊断价值。方法 :回顾研究 5 8例咯血病人胸片、胸部CT和纤支镜检查结果 ,并进行对照分析。结果 :咯血病人经胸片检查有异常所见 40例 (6 9.0 % ) ;CT发现异常 45例 (77.6 % ) ;纤支检查有异常所见 5 0例 (86 .2 % )。咯血病因 :炎症 2 2例 (37.9% ) ,结核 7例 (12 .1% ) ,肿瘤 19例 (38.2 % )及其它 10例 (17.2 % )。结论 :对于初次咯血病人 ,胸片检查应列为常规 ,CT检查是胸片的一个重要补充 ,纤支镜检查对明确病灶性质及咯血原因提供重要依据。
Objective: To investigate the value of chest radiograph, chest CT scan and fiber bronchoscopy in diagnosis hemoptysis. Method: 58 cases with hemoptysis were retrospectively analyzed by chest radiograph, chest CT scan and fiberoptic bronchoscopy. Results: Abnormalities were founded in 40 cases (69.0%) by radiograph, in 45 cases (77.6%) by CT scan and in 50 cases (86.2%) by fiberoptic bronchoscopy. Among the 50 cases, 22 cases were inflammation, 7 cases were tuberculosis, 19 cases were tumor and the rest were other cases.Conclusions: Radiograph should be used to diagnose hemoptysis, CT scan may be important too, and fiberoptic bronchoscopy is more important in the etiology of hemoptysis.
出处
《中国内镜杂志》
CSCD
2001年第4期50-51,共2页
China Journal of Endoscopy
关键词
咯血
胸片
胸部CT
纤维支气管镜检查
Hemoptysis, Fiberoptic bronchoscopy, Chest radiography, Chest CT scan
