73 cases of right middle lobe atelectasis Analysis of fiberoptic bronchoscopy.docVIP

 PAGE \* MERGEFORMAT 13 73 cases of right middle lobe atelectasis Analysis of fiberoptic bronchoscopy In this paper, by 73 cases of right middle lobe atelectasis in patients with fiberoptic bronchoscopy results: 52 cases of inflammation, accounting for 71.2%; tumor 12 cases, accounting for 16.4%; 5 cases of tuberculosis, accounting for 6.8% and the remaining 4 cases were foreign body, nature of external pressure, blood clots caused by machine-oriented. Right middle lobe atelectasis with more common in the elderly aged over 40 who is not only inflammation in the middle of atelectasis incidence of higher cancer incidence rate is higher, so for over 40 years old right middle lobe atelectasis with unknown causes should be vigilant. Right middle lobe atelectasis no characteristic clinical manifestations, diagnosis of fiberoptic bronchoscopy to its higher value. Right middle lobe atelectasis is more common diseases of Respiratory Medicine, in order to investigate the cause, Department of Respiratory Medicine in our hospital since October 1993 ~ June 1998 against 73 cases of the disease among patients with a fiberoptic bronchoscope (bronchoscopy) inspection, now the results of analysis are as follows. 1 Clinical data and 1.1 General Information 73 cases of patients, male 67 cases, female 6 cases, those who are oldest 76 years old, least of 5 years old, mean age (47.3 ± 14.8) years, of which ≥ 40 years of age 56 cases, all patients had chest positive, lateral (including the left and right oblique, etc.) X-ray film, of which 49 patients had chest CT scan data, clinical non-characteristic. Patients from 73 patients with clinical diagnosis of right middle lobe atelectasis to those who carried out bronchoscopy microscopy shortest 2d, the longest 2 weeks. 1.2 Methods Microscopy with conventional bronchoscopy, preoperative fasting for more than 6h, preoperative conventional