FIBEROPTIC BRONCHOSCOPIC ANALYSIS OF RESULTS IN 1,450 CHINESE PATIENTS IN HONG KONG
作者机构:Division of Respiratory Medicine Department of Medicine Queen Mary Hospital University of Hong Kong Hong Kong
出 版 物:《中华医学杂志(英文版)》 (Chinese Medical Journal)
年 卷 期:1983年第96卷第10期
页 面:742-742页
核心收录:
摘 要:Fiberoptic bronchoscopy (FOB) was performed in 1,450 Chinese patients from 1978 to 1982. Diagnostic tissue was obtained in 76.07%。(372/489) bronchial biopsies and 66.18% (319/482) transbronchial lung biopsies (TBB). The three commonest tissue diagnoses were broinchial carcinoma (56.44), acute bronchitis/pneumonia (20.95%) and tuberculosis (1l.41%). Bronchial cancer is the commonest lethal malignant disease in both men and women in Hong Kong. Sarcoidosis, cryptogenic fibrosing alveolitis and extrinsic allergic alveolitis are rare in Chinese. FOB gave a diagnosis of 93.53% foir bronchosciopically visible tumour and 87.65% for nonvisible tumour. FOB also provided the diagnosis in 117 patients with sputum smear negative pulmonary tuberculosis, 21 of 24 (87.5%) immunosuppressed patients with diffuse pulmonary infiltrates, and 39 of 168 (23.2%) patients with hemoptysis and normal chest radiographs. Bronchoscopic aspirate and brush examinations were useful techniques providing the exclusive diagnosis in 12% of bronchoscopically visible tumour and 23% of nonvisible tumour. 36% of sputum smear-negative tuberculosis and 3 thrombocytopenic, immunocompromised subjects.