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临床资料 对本所1998-2001年经痰涂片阳性确诊的7例喉结核进行误诊分析。7例均为男性,年龄24-39岁,平均年龄30岁,6例首诊在综合医院、1例在私人门诊。7例患者均有不同程度咳嗽、咯痰、发热、咽喉部疼痛、声音嘶哑、盗汗、乏力等症状,首诊医生均给予抗炎加激素治疗无效,病情加重。病情持续较长时间后,才拍胸片定诊为肺结核而转入我所诊治。PPD试验6例为强阳性、1例阴性。X线胸片诊断为血行播散型肺结核2例,继发型肺结核5例,伴右上空洞1例,血沉增快4例,痰涂片查到抗核杆菌7例。
Clinical data on our 1998-2001 sputum smear positive diagnosis of 7 cases of laryngeal tuberculosis misdiagnosis. All 7 patients were male, aged 24-39 years, with an average age of 30 years. Six patients were first diagnosed in a general hospital and one patient was in a private clinic. Seven patients had different degrees of cough, expectoration, fever, throat pain, hoarseness, night sweats, fatigue and other symptoms, the first doctor were given anti-inflammatory and steroid treatment ineffective, aggravating. The condition continued for a long time before he was diagnosed with chest X-ray tuberculosis and transferred to my diagnosis and treatment. 6 cases of PPD test for strong positive, 1 negative. X-ray diagnosis of hematogenous disseminated pulmonary tuberculosis in 2 cases, secondary pulmonary tuberculosis in 5 cases, with right upper lobe in 1 case, ESR increased in 4 cases, sputum smear found in 7 cases of anti-TB bacilli.