下肺结核误诊54例分析

Analysis of Mis-Diagnosis of Pulmonary Tuberculosis Located in Lower-Lobe

目的:探讨肺部不典型结核误诊的原因,避免或减少误诊。方法:对我院2001~2007年收治的54例肺部不典型结核误诊患者的临床资料和深入检查结果进行分析,调整治疗方法。结果:54例下肺结核误诊患者经进一步临床观察和深入补充检查,重新调整治疗方法后均获痊愈。结论:肺部不典型结核在临床症状、体征及X线影像上与非结核性肺部炎症有很多相似之处,极易误诊,应注意鉴别。在经一般抗炎治疗无效或效果不明显时,应警惕有结核可能,尽快作进一步深入检查,明确诊断,有效治疗。

Objective:To investigate the mis-diagnosis reason of atypical pulmonary tuberculosis,in order to avoide or reduce the mis-diagnosis rate.Methods:54 atypical pulmonary tuberculosis patients who were treated from 2001 to 2007 in haspital were analysed carefully.Results:The treatment effect with anti-inflammation was ineffectual.After adjusting the therapeutic schedule,all patients were cure by treating with anti-tuberculosis.Conclusion:The atypical pulmonary tuberculosis is very similar to pneumonia in clinic...