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目的分析电子支气管镜在老年肺不张诊断中的价值。方法回顾性分析2012年5—11月收治的老年肺不张患者128例,所有患者经胸部CT或X线片检查后使用电子支气管镜进行活检、刷检及病原学、细胞学检查,明确病变部位、病变原因及其临床诊断。结果发病部位按左右分:右侧肺叶肺不张占64.8%,左侧肺叶肺不张占35.2%。按上下分:全肺占4.7%,上叶占35.2%,中叶占47.7%,下叶占12.5%。发病原因:肿瘤占37.5%,炎症占31.3%,结核占15.6%,异物占10.9%,原因不明占4.7%。结论电子支气管镜能明确老年肺不张患者的病变部位及其病因,值得临床推广应用。
Objective To analyze the value of electronic bronchoscopy in the diagnosis of senile atelectasis. Methods A retrospective analysis was performed on 128 elderly patients with atelectasis admitted from May to November in 2012. All patients underwent electronic bronchoscopy with biopsy, brushing, etiology and cytology after CT or X-ray examination of thorax. Location, causes of disease and its clinical diagnosis. The results of the site by left and right points: the right lung lobes atelectasis accounted for 64.8%, left lung lobes atelectasis accounted for 35.2%. According to the upper and lower points: 4.7% of the whole lung, upper leaves accounted for 35.2%, middle leaves accounted for 47.7%, lower leaves accounted for 12.5%. Causes of the disease: cancer accounted for 37.5%, inflammation accounted for 31.3%, tuberculosis accounted for 15.6%, foreign body accounted for 10.9%, unexplained accounted for 4.7%. Conclusion Electronic bronchoscopy can identify the location of the lesion and its etiology in elderly patients with atelectasis and is worthy of clinical application.