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咯血是呼吸系统疾病常见症状之一,及时查找咯血原因及出血部位至关重要,纤维支气管镜(纤支镜)为重要手段之一。现将1987年3月～1996年10月收治的442例咯血患者纤支镜检查结果分析如下。 1 资料与方法 1.1 一般资料:本组442例咯血患者中,男344例,女98例,男女之比3.5:1;年龄16～78岁,<50岁154例(37.1％),>50岁278例(62.9％)。咯血量:痰血或血丝231例(52.3％);<100mL/日179例(40.5％);>100mL/日32例(7.2％)。 1.2 检查方法:采用Olympus BF—4C2型、B3型、Pentax FB—19D型等纤维支气管镜。术前肌注阿托品0.5mg、口服鲁米那0.09,可待因0.03。2％利多卡因咽喉部喷雾和气管内滴入麻醉。操作步骤和标
Hemoptysis is one of the common symptoms of respiratory diseases, timely detection of hemoptysis causes and bleeding is crucial, bronchoscopy (bronchoscopy) is an important means. Now in March 1987 ~ 1996 October 442 cases of hemoptysis patients bronchoscopy results are as follows. 1 Materials and Methods 1.1 General Information: In this group of 442 patients with hemoptysis, there were 344 males and 98 females, with a ratio of men to women of 3.5: 1; aged 16 to 78 years, 154 (37.1%) <50 years and> 50 years 278 cases (62.9%). Hemoptysis: 231 cases (52.3%) of sputum blood or blood; 179 cases (40.5%) <100ml / day; 32 cases (7.2%)> 100ml / day. 1.2 inspection methods: the use of Olympus BF-4C2 type, B3 type, Pentax FB-19D-type bronchoscopy. Preoperative intramuscular injection of atropine 0.5mg, 0.09 orally administered luminal, codeine 0.03.2% lidocaine throat spray and endotracheal instillation. Procedure and standard