目的总结纤支镜在大咯血治疗及诊断中的应用价值。方法回顾分析1986年10月至2006年10月经纤支镜抢救32例大咯血病例的方法和结果。结果21例经1次纤支镜治疗后止血,19例可见不同程度的血块阻塞,8例极其危重者确定了出血部位,立即行手术治疗。3例经2次治疗后止血。9例确诊为肺癌。结论经纤支镜抢救大咯血,快速、有效、方便,相对较为安全。 Objective To summarize the value of fibrobronchoscopy in the treatment and diagnosis of massive hemoptysis. Methods The methods and results of 32 cases of hemoptysis treated by fiberoptic bronchoscopy were retrospectively analyzed from October 1986 to October 2006. Results Twenty-one patients underwent hemostasis after one bronchofiberscopy, and 19 patients showed clogged blood clots in different degrees. Eight patients with extremely severe cases were confirmed to have hemorrhage and immediate surgical treatment was performed. 3 cases after 2 treatments to stop bleeding. Nine patients were diagnosed with lung cancer. Conclusion The treatment of massive hemoptysis by bronchoscopy is fast, effective, convenient and relatively safe.