CAJ | 학술논문

目的：分析总结经支气管镜确诊的青年肺癌患者的临床特征。方法回顾性分析2009年6月-2013年6月本院收治的31例青年肺癌患者的临床特点。结果28例青年肺癌患者出现咳嗽症状，占90．32％；6例出现骨转移，占19．35％，3例出现肝及骨转移，占9．68％，1例为多饮多尿，占3．23％，3例患者无明显临床症状，占9.68％。在31例青年肺癌患者中，腺癌10例，小细胞肺癌12例，腺鳞癌1例，鳞癌5例，大细胞肺癌1例，不明确类型1例；22例有吸烟史，占70．97％，提示吸烟为青年患者发生肺癌的危险因素。初次就诊时，青年肺癌总误诊率为51．61％。结论纤维支气管镜检查对于肺癌的早期诊断及早期治疗有着重要的临床意义。
목적：분석총결경지기관경학진적청년폐암환자적림상특정。방법회고성분석2009년6월-2013년6월본원수치적31례청년폐암환자적림상특점。결과28례청년폐암환자출현해수증상，점90．32％；6례출현골전이，점19．35％，3례출현간급골전이，점9．68％，1례위다음다뇨，점3．23％，3례환자무명현림상증상，점9.68％。재31례청년폐암환자중，선암10례，소세포폐암12례，선린암1례，린암5례，대세포폐암1례，불명학류형1례；22례유흡연사，점70．97％，제시흡연위청년환자발생폐암적위험인소。초차취진시，청년폐암총오진솔위51．61％。결론섬유지기관경검사대우폐암적조기진단급조기치료유착중요적림상의의。
Objective To analyze the clinical characteristics of young patients with lung cancer diagnosed by bronchoscope .Method A retrospective analysis was conducted of the clinical characteristics of 31 cases young patients with lung cancer admitted to the hospital from June ,2009 to June,2013.Findings 28 cases of lung cancer had cough symptoms, which accounted for 90.32%; 6 cases had bone metastasis , accounting for 19.35%;3 cases had liver and bone metastases, accounting for 9.68%;1 cases had polydipsia and polyuria , accounting for 3.23%; 3 cases had no obvious clinical symptoms , accounting for 9.68%.Among 31 cases of young patients with lung cancer , 10 cases had adenocarcinoma , 12 cases had small cell lung cancer , 1 cases had adenosquamous carcinoma , 5 cases had squamous cell carcinoma, 1 cases had large cell lung cancer , 1 cases was not clear; 22 cases had a history of smoking , smoking accounting for 70.97%, which were the factors indicating lung cancer in young patients .When the initial visits, clinical misdiagnosis rate of youth lung cancer was 51.61%.Conclusion There is important clinical significance of fiberopticbronchoscopy for early diagnosis and treatment of lung cancer .