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近年来的流行病学调查资料表明,老年人肺结核发病率有逐年增加的趋势。由于老年人肺结核并存病症较多。临床表现复杂,尤其是初发的肺结核,在临床上易延误诊断,本文就误诊的50例加以分析。临床资料本组男36例,女14例。60～69岁44例,70岁以上6例。延误诊断时间:延误3周以上16例,1个月以上14例,2个月以上13例,5个月以上5例,10个月以上2例。误诊情况:①13例低热久咳,误诊为慢性支气管炎;②5例粟粒型肺结核,因肺部病变不典型误为慢性支气管炎;③12例发烧、咳嗽、咯脓痰、抗炎治疗反而出现空洞并有液平,伴有周围血象增加,误诊为肺脓肿;④5例下叶结核误诊为肺炎;⑤7例不典型浸润型肺结核
In recent years, epidemiological survey data show that the incidence of tuberculosis in the elderly have increased year by year trend. As the elderly co-exist more tuberculosis. Clinical manifestations of complex, especially the initial onset of tuberculosis, clinical diagnosis is easy to delay, the paper misdiagnosed 50 cases were analyzed. Clinical data The group of 36 males and 14 females. 44 cases of 60 to 69 years old, 6 cases over the age of 70. Delayed diagnosis time: delayed more than three weeks in 16 cases, more than 1 month in 14 cases, more than 2 months in 13 cases, 5 months more than 5 cases, 10 months and 2 cases. Misdiagnosis: ①13 cases of low fever, chronic cough, misdiagnosed as chronic bronchitis; ② 5 cases of miliary tuberculosis, due to pulmonary atypical mistaken for chronic bronchitis; ③ 12 cases of fever, cough, purulent sputum, anti-inflammatory treatment appears hollow and A level, accompanied by increased peripheral blood, misdiagnosed as lung abscess; ④ 5 cases of lower lobe tuberculosis misdiagnosed as pneumonia; ⑤ 7 cases of atypical infiltrative pulmonary tuberculosis