摘要
为了减少肺癌的误诊率,我们对1977年以来经细胞学及组织学证实的846例肺癌中误诊为肺结核的600例病例进行了分析.从三个方面讨论了误诊原因及教训:1.对早期症状的忽视;2.肺癌与肺结核并存;3.对肺癌的某些X线征象认识不足.因此,不断提高X线诊断水平和对肺癌的警惕性,丰富必要的临床知识及有针对性地应用检查仪器,积极开展胸部疾病的病理学诊断是提高肺癌早期诊断率的措施.
In order to reduce the misdiagnosis rate of lung cancer we analysed 600 cases of lung cancer misdiagnosed as tuberculosis from 846 cases which were evidenced by cytology or histology in our hospital since 1977. The causes of misdiagnosis were discussed in three aspects. (1)the early symptoms were ignored; (2)lung cancer and tuberculosis coexisted:and (3)some characterristics of lung cancer shown by X-ray were distinguished. It is necessary to raise the level of the diagnosis of the common X-ray,to keep vigilance for lung cancer,acquire further, clinical knoledge needed,to made full use of the examining instruments and to wage activities of the pathological diagnosis of thoracic diseases.
