纵隔淋巴结结核多属青壮年原发型肺结核,国内报道较少。我院25年间共收治本病249例,其中误诊者142例占57%,现对误诊原因分析如下。诊断标准:1.来自农村的青壮年;2.有急慢性结核中毒症状;3.结核菌素试验阳性尤其是强阳性;4.X线检查纵隔淋巴结肿大,抗结核治疗2个月以上可除外类似疾病。 Mediastinal lymph node tuberculosis are mostly young primary pulmonary tuberculosis, less reported in the country. In our hospital for 25 years, a total of 249 cases of this disease were treated, of which 142 cases misdiagnosed accounted for 57%, now the cause of misdiagnosis are as follows. Diagnostic criteria: 1. Young adults from rural areas; 2. Acute and chronic tuberculosis poisoning symptoms; 3. Tuberculin test positive especially strong positive; 4. X-ray examination of mediastinal lymph nodes, anti-TB treatment for more than 2 months Except for similar diseases.