论文部分内容阅读
我科自1973～1989年共诊治口腔粘膜结核5例,全部病例均经病理证实。现报道如下: 病例报告例1 男,23岁,口腔粘膜溃疡3个月,伴轻咳。检查:上腭、颊部及左舌缘布满大小不等的表浅溃疡,表面污浊,有脓性分泌物,溃疡基底红软,边缘不整。胸片发现双肺浸润型肺结核。痰涂片发现抗酸杆菌(+++),血沉86mm/1小时,溃疡活检诊断为粘膜结核。例2 男,40岁,口腔溃疡15个月伴咳嗽咳痰。检查:整个软硬腭部都有大小不等的溃疡,表面有少许分泌物,溃疡基底软,不平;大溃疡基底可见红色小结节,溃疡边缘呈鼠啮状。胸片显示右上肺结核,痰涂片发现抗酸杆菌(++),血沉54mm/1小时,结核菌素试验强阳性,溃疡活检诊为粘膜结核。
My department from 1973 to 1989, a total of 5 cases of oral mucosal tuberculosis, all cases were confirmed by pathology. Are reported as follows: Case Report 1 male, 23 years old, oral mucosal ulcer for 3 months, with light cough. Check: on the palate, cheek and left tongue edge covered with varying sizes of superficial ulcers, the surface dirty, purulent secretions, soft red ulcer base, the edge of the whole. Chest radiograph found pulmonary infiltrative pulmonary tuberculosis. Sputum smear found acid-fast bacilli (+++), ESR 86mm / 1 hour, ulcer biopsy diagnosed as mucosal tuberculosis. Example 2 male, 40 years old, oral ulcers 15 months with cough and sputum. Check: The entire soft and hard palate have ulcers of varying sizes, the surface has a little secretions, ulcers basal soft, uneven; large ulcer visible red nodules, ulcer edge was rat-like. Chest X-ray showed right upper pulmonary tuberculosis, sputum smear found acid-fast bacilli (++), ESR 54mm / 1 hour, strong positive tuberculin test, ulcer biopsy diagnosis of mucosal tuberculosis.