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浸润型肺结核是继发型肺结核的主要类型,约占成人肺结核的80%以上。其临床、X线表现形式多样,常与非结核性疾病相互误诊。本文从我院73年1月至82年3月的2,469例住院病人中,收集了将肺癌、肺炎变等非结核性疾病误诊为浸润型肺结核、且资料完整的37例,就其误诊原因加以分析、探讨,以利从中吸取教训,提高诊断正确性。资料本组37例中,男性31例,女性6例。年龄最小20岁,最大74岁。入院时均诊断为浸润型肺结核,后经临床观察及细致的检查,否定肺结核诊断,确诊为:肺癌15例(鳞状
Infiltrative tuberculosis is the main type of tuberculosis, accounting for more than 80% of adult tuberculosis. Its clinical and X-ray manifestations are diverse and often misdiagnosed with non-tuberculous diseases. From the 2,469 inpatients from January 73 to March of the same year in our hospital, 37 cases with misdiagnosed non-tuberculous diseases such as lung cancer and pneumonia were diagnosed as infiltrative tuberculosis and had complete data. Analyze and discuss in order to draw lessons from it and improve diagnostic accuracy. In the 37 cases of this data group, there were 31 males and 6 females. The youngest is 20 years old and the oldest is 74 years old. Infiltrative tuberculosis was diagnosed on admission. After clinical observation and careful examination, the diagnosis of tuberculosis was denied. The diagnosis was: lung cancer in 15 cases (scaly