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目的:熟悉不典型性肺结核诊断要点,分析误诊的原因。方法:回顾性分析50例不典型肺结核者的临床资料,包括胸部X线、胸部CT、痰菌、PPD皮试及复查结果。结果:入院前误诊肺炎23例,慢性阻塞性肺疾病10例,支气管扩张6例,肺癌5例,肺脓肿6例。结论:不典型性肺结核的发病呈新发病趋势,早期易误诊,应根据临床综合分析及定期复查,以提高临床诊治水平,控制不典型性肺结核。
Objective: To be familiar with the diagnosis of atypical pulmonary tuberculosis and to analyze the causes of misdiagnosis. Methods: The clinical data of 50 patients with atypical pulmonary tuberculosis were retrospectively analyzed, including chest X-ray, chest CT, sputum bacteria, PPD skin test and review results. Results: There were 23 cases of pneumonia before admission, 10 cases of chronic obstructive pulmonary disease, 6 cases of bronchiectasis, 5 cases of lung cancer and 6 cases of lung abscess. Conclusion: The incidence of atypical pulmonary tuberculosis is a new trend of onset. Early misdiagnosis should be based on clinical comprehensive analysis and regular review to improve the level of clinical diagnosis and treatment and control of atypical pulmonary tuberculosis.