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目的探讨纤维支气管镜检查在青壮年不明原因咯血患者中的诊断价值及纤维支气管镜治疗的安全评价。方法 29例不明原因咯血患者,在咯血期间或在咯血停止48～72 h内进行检查,经肉眼观察、活组织检查、刷片和实验室的各项检查以及CT选择性检查,镜下发现出血病灶的同时给予止血治疗。结果发现咯血的原因为:支气管肺癌1例,普通炎症23例,支气管扩张2例,支气管结核1例,无异常发现2例,总阳性率为93%。发现10例活动性出血,并给予镜下止血治疗,有效率为100%,无并发症发生。结论纤维支气管镜检查对青壮年不明原因咯血是可选的一种检查手段,对咯血的诊断和治疗安全有效。
Objective To investigate the diagnostic value of fiberoptic bronchoscopy in patients with unidentified hemoptysis in young adults and the safety evaluation of bronchoscopy. Methods Twenty-nine patients with hemoptysis of unknown origin were examined during hemoptysis or within 48-72 hours after the halt of hemoptysis. Gross examination, biopsy, brush and laboratory tests, and CT-selective examination revealed hemorrhage under the microscope Lesions given to stop bleeding treatment. Results Hemoptysis was found in 1 case of bronchial lung cancer, 23 cases of common inflammation, 2 cases of bronchiectasis and 1 case of bronchial tuberculosis. No abnormality was found in 2 cases, with a total positive rate of 93%. Found 10 cases of active bleeding, and given hemostasis under the microscope, the effective rate was 100%, no complications. Conclusions Fiberoptic bronchoscopy is an optional method for the detection of unidentified hemoptysis in young adults. It is safe and effective in the diagnosis and treatment of hemoptysis.