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肺下叶不是成人结核的好发部位,肺下叶结核的发病过程、临床及X线表现与肺上叶结核有所不同,容易误诊。据文献报告,肺下叶结核的发病率是1.5~3.6%,其误诊率高达57.4%。本文就我们诊治50例病例的体会,结合文献对其诊断问题作一讨论。 1.临床表现:本病急性起病较缓慢起病者为多,咳嗽、咳痰、乏力、发热、胸痛、纳差、咯血及痰血为常见症状。其临床表现有以下特点:(1)中毒症状
Lower lung is not a good place for adult tuberculosis, pulmonary tuberculosis in the pathogenesis of clinical and X-ray findings and pulmonary tuberculosis are different, easily misdiagnosed. According to literature reports, the incidence of pulmonary tuberculosis is 1.5 to 3.6%, the misdiagnosis rate as high as 57.4%. This article on our diagnosis and treatment of 50 cases of experience, combined with the literature on its diagnosis to make a discussion. 1. Clinical manifestations: The onset of acute onset of the disease are more slow onset, cough, sputum, fatigue, fever, chest pain, anorexia, hemoptysis and sputum blood are common symptoms. Its clinical manifestations have the following characteristics: (1) poisoning symptoms