肺不张纤维支气管镜检查197例报告

The Evaluation on the drowned lung by fibroscopic examination 197 cases

摘要: 本文对197例肺不张病例经纤支镜检查明确其病因特征及易发部位等进行了分析报道。癌性肺不张居首位，占72．1％；其中鳞癌占54．9％，未分化癌占21．1％，腺癌占0．7％。纤支镜下特征：鳞癌、未分化癌多呈结节状，菜花状，息肉样；腺癌多呈粘膜增厚，纵行条索状改变；炎性肺不张占12．7％，镜下特征为粘膜充血，水肿，有分泌物附着，并可见分泌物自远端支气管溢出。纤支镜检查明确肺不张原因阳性率达92．2％。作者认为肺不张是纤支镜检查的绝对适应者。

Abstract: In this study，we analyzed 197 patients of drowned lung to identify the characteristics of disease cause and locations by fibroscopic examination.The cancerous drowed lung accounted for 72.1%among which，squamous carcinoma was 54·9%，undiffirentiated carcinoma was 21.1%and adenocarcinoma was 0.7%.By fibroscopic examination，we found squamous carcinoma and undifferentiated carcinoma always appeared with polypshape wile adenocarcinoma did with thicked mucosa.The drowned lung caused by inflummation accounted for about 12·7 % with mucosal swelling and secretion attached.The rate of identification for drowned lung by fibroscopic examination is 92.2%.We concluded that fibroscopic examination is appropriate for the drowned lung.