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目的 旨在明确肺结核X线分类中两型合并的分类。方法 本文收集临床、肺结核细菌学和常规胸片确诊的肺结核10 0 0例 ,进行X线分类的探讨。结果 X线分类 ,原发型 2 14例 ,合并胸膜炎 11例 ,血型播散型 14 0例 ,合并胸膜炎 45例 ,继发型612例 ,合并胸膜炎 14 8例 ,结核性胸膜炎 3 4例。Ⅰ～Ⅲ型肺结核合并胸膜炎 2 0 4例 ,占总病例数的 2 0 .4%。结论 依据病因发病机理 ,中国结核病分类法 ( 1998) ,按原发型肺结核合并结核性胸膜炎 ,血行播散型肺结核合并结核性胸膜炎 ,继发型肺结核合并结核性胸膜炎 ,进行X线分型。
Purpose To clarify the classification of pulmonary tuberculosis X-ray classification of two types of mergers. Methods A total of 100 cases of pulmonary tuberculosis diagnosed by clinical, tuberculosis bacteriology and routine chest radiography were collected for X-ray classification. Results There were 214 cases of primary pleuritis, 11 cases of combined pleurisy, 140 cases of blood group dissemination, 45 cases of complicated pleurisy, 612 cases of secondary type, 148 cases of complicated pleurisy and 34 cases of tuberculous pleurisy. There were 204 cases of type Ⅰ ~ Ⅲ pulmonary tuberculosis with pleurisy, accounting for 20.4% of the total number of cases. Conclusion According to the etiology of pathogenesis, the Chinese classification of tuberculosis (1998), according to the primary tuberculosis with tuberculous pleurisy, hematogenous disseminated tuberculosis with tuberculous pleurisy, secondary tuberculosis combined tuberculous pleurisy, X-ray classification.