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报告45例胸片正常咯血患者的纤维支气管镜检查结果。发现文气管肺癌10例;支气管内膜结核2例;粘膜炎症改变25例,粘膜血管充盈或充血5例;粘膜正常3例。除支气管肺癌和支气管内膜结核外,其余33例能确定出血部位者只有4例(12%)。10例支气管肺癌的病人均为年龄>40岁的男性,吸烟指数均>400.10例支气管肺癌和2例支气管内膜结核反复咯血日数均>31日,结合文献报告,我们建议:胸片正常咯血患者的纤维支气管检查适应症为①年龄>40岁;②吸烟指数>300,和(或)咯血持续日数>7日。
Report of 45 cases of chest X-ray hemoptysis in patients with bronchoscopy results. 10 cases of bronchial and lung cancer were found, 2 cases of endobronchial tuberculosis, 25 cases of mucosal inflammation, 5 cases of mucosal vascular filling or hyperemia and 3 cases of normal mucosa. In addition to bronchial lung cancer and endobronchial tuberculosis, the remaining 33 cases were confirmed to have only 4 bleeding sites (12%). All 10 patients with bronchogenic carcinoma were men> 40 years of age. The average smoking index was> 400.10 cases of bronchogenic carcinoma and 2 cases of endobronchial tuberculosis with repeated episodes of hemoptysis> 31 days. According to the literature, we suggest that patients with normal chest X-ray The indications of fibrobronchial examination were ① age> 40 years; ② smoking index> 300, and (or) duration of hemoptysis> 7 days.