肺结核病在我国是常见病,肺结节病的发病率近年来逐渐增高。两病从病理、临床、x线等方面颇多相似,临床上往往容易误诊。现将我们误诊的教训报道如下:临床资料患者,男,56岁,干部,吸烟1包/日。1990年5月上旬,出现低热,咳嗽、胸闷、气短、乏力。体检:T38.2℃、右侧肺部可闻及干性罗音。胸片显示右肺门淋巴结肿大约2×3cm,呈土豆快样阴影,边界清楚,周围无浸润。痰涂片3次,结核菌(一),误诊为右 Tuberculosis in China is a common disease, the incidence of lung sarcoidosis gradually increased in recent years. Two diseases from the pathology, clinical, x-ray quite similar, clinically easy to misdiagnosis. Now we misdiagnosed lessons reported as follows: Clinical data patients, male, 56 years old, cadres, smoking 1 pack / day. Early May 1990, there fever, cough, chest tightness, shortness of breath, fatigue. Physical examination: T38.2 ℃, the right lung can be heard and dry rales. Chest X-ray showed right hilar lymph nodes about 2 × 3cm, potato-like shadow, clear boundary, no infiltration around. Sputum smear 3 times, TB (a), misdiagnosed as right