慢性支气管炎合并肺结核26例临床分析

Analysis of 26 cases of chronic bronchitis and pulmonary tuberculosis

目的探讨慢性支气管炎合并肺结核的临床特点,以提高诊治水平,减少漏诊。方法回顾性分析笔者所在医院2005年6月至2008年8月收治的26例慢性支气管炎合并肺结核的临床表现和影像学等辅助检查特点。结果慢性支气管炎合并肺结核的患者无结核中毒症状者占88.5%,胸部影像学表现与单纯肺结核表现无明显差异性。结论慢性支气管炎合并肺结核临床表现不典型,多因素漏诊率较高,应提高对该病的警惕性。对慢性支气管炎患者在治疗期间应做结核方面依据的搜寻,尤其是胸片或CT检查应作为常规检查手段,以尽量早期诊断早期治疗。

Objective To discuss clinical characteristics of the chronic bronchitis merge pulmonary tuberculosis, to raise the diagnosis level and reduce leaks examination. Methods The clinical manifestation of 26 cases with chronic bronchitis merge pulmonary tuberculosis from June 2005 to August 2008 were analyzed. Results 88.5% of the patients with chronic bronchitis merge pulmonary tuberculosis had no symptoms of poisoning. There was no significant difference between the chest phantom performance and the pure pulmonary tuberculosis displays. Conclusion It is possible to be missed diagnosed due to atypical symptoms of the chronic bronchitis merge pulmonary tuberculosis clinical, so X -ray or CT should be taken as routine examination.