不典型肺结核的误诊原因分析

Misdiagnosis of not typical pulmonary tuberculosis: A reason analysis

目的分析不典型肺结核误诊的原因,提高对该病的诊断能力。方法回顾性分析我院收治的46例肺结核病例资料,其中不典型肺结核患者共18例(39.1%),分析不典型肺结核误诊的原因。结果不典型肺结核中,最易误诊的疾病为急、慢性呼吸道感染,占50.0%,余下依次为肺炎(22.2%)、肺癌(11.2%)、肺脓肿(5.6%)、支气管扩张(5.6%)、纵隔疾病(5.6%)。结论肺结核发病形式多样化,临床表现不典型,实验室检查阳性率低,应综合系统地分析病情,避免漏、误诊。

Objective To analyze misdiagnosis reason of atypical pulmonary tuberculosis for improving the disease diagnosibility. Methods The 46 cases with pulmonary tuberculosis in our hospital were retrospectively analyzed. There were 18 cases（39.1%） with atypical pulmonary tuberculosis. The misdiagnosis reason of atypical pulmonary tuberculosis were analyzed. Results In atypical pulmonary tuberculosis, the most misdiagnosed disease was acute and chronic respi- ratory tract infections （50.0%）, followed by pneumonia （22.2%）, lung cancer （11.2%）, pulmonary abscess （5.6%）, bronchiectasis（5.6%）,mediastinal disease（5.6%）. Conclusion The onset outbreak of pulmonary tuberculosis are variegated, clinical manifestations are not typical, positive rate of laboratory informations are low, so it should be paid atten- tion to, and missed diagnosis and misdiagnosis of the disease should be avoided.