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老年人因免疫力低下,肺结核患者症状、体征多不典型,易造成误诊,尤其肺下叶结核,屑肺结核非好发部位,误诊率较高,现将本院56例老年肺下叶结核误诊情况报道如下。 1 临床资料 1.1 资料来源 收集本院1994年1月至1996年12月出院确诊的老年肺下叶结核72例,其中误诊56例进行分析。56例均经拍后前位胸片或CT检查,病变位于一侧或双侧肺下叶,符合下列条件之一:①痰或纤支镜刷检(或灌洗)涂片查结核菌阳性;②手术后病理确诊;③抗结核治疗,符合结核病演变过程。
Elderly due to low immunity, symptoms and signs of tuberculosis patients are atypical, easily lead to misdiagnosis, especially in the lungs of the lower respiratory tuberculosis, non-tuberculous tuberculosis non-predilection sites, higher misdiagnosis rate, now 56 cases of elderly patients with pulmonary tuberculosis misdiagnosis The situation is reported as follows. 1 Clinical data 1.1 sources collected in our hospital from January 1994 to December 1996 confirmed discharge of elderly patients with pulmonary tuberculosis in 72 cases, of which 56 cases were misdiagnosed for analysis. 56 cases were photographed after the chest radiography or CT examination, lesions located in one side or bilateral lower lobe, in line with one of the following conditions: ① sputum or bronchoscopy brush (or lavage) smear check positive for tuberculosis ; ② postoperative pathological diagnosis; ③ anti-TB treatment, in line with the evolution of tuberculosis.