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我们自1886年到1992年11月,用纤维支气管镜(纤支镜)检查病人2208例,其中23例确诊为支气管内膜结核。为了提高对本病诊断的认识,现分析报告如下。材料本组23例中男9例,女14例,年龄18～69岁。镜检前,所有病人痰涂片找抗酸杆菌2次以上均阴性。临床诊断为肺炎、肺不张、肺结核、支气管扩张症等。方法 1％丁卡因喷雾咽喉部,气管内滴入2％盐酸利多卡因行粘膜表面麻醉。用日本产Olympus 4B_2或T_(20)型纤支镜,经鼻插入到达支气管病变部位,进行肉眼观察,并作支气管冲洗、毛刷涂片和粘膜活检。冲洗液、毛刷涂片找抗酸杆菌,冲洗液作结核菌培养,粘膜活检送病理学检查。支气管内膜结核的诊断依据
From 1886 to November 1992, we examined 2208 patients with fiberoptic bronchoscopy (bronchoscopy), of which 23 were diagnosed as endobronchial tuberculosis. In order to improve the diagnosis of the disease awareness, the analysis report is as follows. Materials The group of 23 patients, 9 males and 14 females, aged 18 to 69 years. Microscopic examination before, all patients sputum smear to find acid-fast bacilli more than 2 times were negative. Clinical diagnosis of pneumonia, atelectasis, tuberculosis, bronchiectasis and so on. Method 1% tetracaine spray throat, tracheal instillation 2% lidocaine hydrochloride line mucosal surface anesthesia. Using Olympus 4B_2 or T_ (20) type bronchoscope made in Japan, the bronchial lesion was transnasally inserted and observed by the naked eye. Bronchial irrigation, brush smear and mucosal biopsy were performed. Rinse solution, brush smear look for acid-fast bacilli, washing solution for tubercle culture, mucosal biopsy sent to pathological examination. Bronchial tuberculosis diagnosis based on