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我科从1996.12～1997.4月对临床表现不典型,部分病人X线胸片无异常,痰涂片未查到抗酸杆菌,被误诊为其它肺部疾病的11例病人进行了纤维支气管镜(FB)刷检、活检,从而得以确诊,现报告如下。临床资料 11例病人中男9例,女2例,年龄23～70岁,45岁以下者5例,病程3月至2年,主要表现为慢性咳嗽6例,反复咯痰带血5例。11例中3例胸片无异常发现,其余9例胸片检查诊为:肺部感染5例,阻塞性肺炎2例、支气管扩张2例。9例中有3人胸部CT检查1～2次,均诊为肺部感染,9例病变部位分别为右下叶5例,右上叶2例、左下叶2例。11例中有8例检查前查痰涂片(各3次)未发现抗酸杆菌。此组病人占我院同期纤支镜检查数(33例)的三分之一。
Our department from 1996.12 ~ 1997.4 months of atypical clinical manifestations, some patients no abnormal chest X-ray, sputum smear not found in acid-fast bacilli, was misdiagnosed as other pulmonary diseases in 11 patients with bronchoscopy (FB ) Brush, biopsy, which can be diagnosed, are as follows. Clinical data 11 males and 9 females, 2 females, aged 23 to 70 years old, 45 years of age in 5 cases, duration of 3 months to 2 years, the main manifestations of chronic cough in 6 cases, 5 cases of repeated expectoration and blood. Of the 11 cases, no abnormality was found in 3 cases of chest radiography. The other 9 cases of chest radiography were diagnosed as pulmonary infection in 5 cases, obstructive pneumonia in 2 cases and bronchiectasis in 2 cases. Three of the nine patients underwent chest CT examination 1 to 2 times, all of whom were diagnosed as pulmonary infection. Among the 9 patients, 5 were found in the right lower lobe, 2 in the right upper lobe and 2 in the left lower lobe. In 11 cases, there were 8 cases of acid-fast bacilli found in sputum smear (3 times before examination) before examination. This group of patients accounted for the same period in our hospital bronchoscopy (33 cases) one-third.