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咯血是常见临床症状之一,病因复杂,治法各异,及时明确诊断对预后影响甚为重要。1980年~1994年对250例咯血患者行纤维支气管镜(简称纤支镜)检查,以探讨纤支镜对咯血病因诊断的价值,现总结如下。 1 临床资料 1.1 材料来源 排除心脏病等肺外疾病及上呼吸道出血后选择250例咯血患者,男性195例,女性55例,男女之比3.55:1。年龄18~73岁,平均年龄51.2岁。大于40岁86例(男66例,女20例),小于40岁164例(男109,女55)。咯血时间1天~25年,3个月内120例,3个月~1年54例,1年以上76例。咯血量:少量(少于50ml/d)223例(89.2%),中量(50~300ml/d)24
Hemoptysis is one of the common clinical symptoms, the etiology is complex, different methods, timely diagnosis of prognosis is very important. From 1980 to 1994, 250 patients with hemoptysis underwent bronchoscopy (bronchofiberscopy) to investigate the value of bronchofibroscopy in the diagnosis of hemoptysis. The results are summarized as follows. 1 clinical data 1.1 source exclusion of heart disease and other extrapulmonary disease and upper respiratory tract bleeding after the selection of 250 patients with hemoptysis, 195 males and 55 females, male to female ratio 3.55: 1. Age 18 ~ 73 years old, average age 51.2 years old. More than 40 years old 86 cases (66 males and 20 females), less than 40 years of 164 cases (male 109, female 55). Hemoptysis time of 1 day to 25 years, 120 cases within 3 months, 3 months to 1 year in 54 cases, more than 1 year in 76 cases. Hemoptysis: a small amount (less than 50ml / d) 223 cases (89.2%), the amount of (50 ~ 300ml / d) 24