CAJ | 학술논문

目的：分析电子支气管镜下气管内碳沫沉积的相关病因。方法选择2013年1月至2013年12月在解放军总医院呼吸科介入肺脏病中心行气管镜检察镜下碳沫沉积的患者85例，结合患者一般情况、病理学检查结果进行分析。结果碳沫沉积患者出现临床症状的年龄为50～80岁，平均年龄67.5岁，高发年龄集中在60～80岁，占整组比例的82%，且女性发生率高于男性。碳沫沉积与烟尘接触史有关，76.5%患者接触过煤炭、烟尘；沉积部位不确定，累及单个肺段患者占56.5%，多个肺段受累患者占43.5%；活检病理学结果显示，改变以炎症为主患者占71.2%（P ＜0.05）。结论研究发现碳沫沉积患者的病理学改变以炎症为主，提示对碳沫沉积部位的活检缺乏特异性，仍有待于进一步研究。
목적：분석전자지기관경하기관내탄말침적적상관병인。방법선택2013년1월지2013년12월재해방군총의원호흡과개입폐장병중심행기관경검찰경하탄말침적적환자85례，결합환자일반정황、병이학검사결과진행분석。결과탄말침적환자출현림상증상적년령위50～80세，평균년령67.5세，고발년령집중재60～80세，점정조비례적82%，차녀성발생솔고우남성。탄말침적여연진접촉사유관，76.5%환자접촉과매탄、연진；침적부위불학정，루급단개폐단환자점56.5%，다개폐단수루환자점43.5%；활검병이학결과현시，개변이염증위주환자점71.2%（P ＜0.05）。결론연구발현탄말침적환자적병이학개변이염증위주，제시대탄말침적부위적활검결핍특이성，잉유대우진일보연구。
Objectives To explore the cause of airway deposition of carbon foam by electronic bronchoscopy. Methods From January 2013 to December 2013,85 patients with carbon deposits dignosed by bronchoscopy in The PLA General Hospital. Analysis of the relationship between the general condition of the patients and the pathology results. Results The clinical symptoms of carbon deposits appear in 50-80 years old,mean age 67.5 years old,Peak appears at 60-80 years old,accounting for 82% of the whole group,and the incidence of women is more than men. Carbon deposits and smoke exposed history are related,76.5% of patients in contact with smoke. Deposition site is uncertain,involving a single lung segment accounted for 56.5% ,involving multiple lung segment accounted for 43.5% . After biopsy,the pathology is mainly inflammation. Conclusions Our study found that pathological changes in patients who had carbon deposits is mainly inflammation. Biopsy in the carbon deposits is no specificity.