痰结核菌涂片检查阴性的支气管结核误诊24例

Misdiagnosis of 24 cases of bronochogenic tuberculosis with negative of tubercle bacillus in sputum smear examination

[背景 ]提高对痰结核菌涂片检查阴性的支气管结核的警惕性 ,以避免漏诊和误诊 .[病例报告 ]选择痰结核菌涂片检查阴性的支气管结核误诊病例 2 4例 ,对其进行纤维支气管镜下分析 .结果 ,2 4例中支气管壁充血、肿胀或伴糜烂、坏死而引起管腔狭窄者占 5 4% (13/ 2 4) ,管腔闭塞者占 38% (9/ 2 4) ,支气管壁肿胀或结节样增殖性病变者占 8% (2 / 2 4) .[讨论 ]痰结核菌涂片检查阴性的支气管结核的诊断较难 。

BACKGROUND To advice to keep your eye on the ball for the bronochogenic tuberculosis with negative of tubercle bacillus in sputum smear examination in order to avoid the misdiagnosis. CASE REPORT Misdiagnosed 24 cases of bronochogenic tuberculosis with negative of tubercle bacillus in sputum smear examination were selected and analyzed by fiberbronchoscope. Out of 24 cases, 13 cases(54%) were the luminal stricture of bronchus caused by hyperemia, tumefaction or erosion and necrosis of bronchial membrane, 9(38%)were the luminal occlusion and 2(8%) had appearance of tumefaction of bronchial paries or nodular proliferative lesion. DISCUSSION The diagnosis of bronochogenic tuberculosis with negative of tubercle bacillus in sputum smear examination is difficult, and examination of fiberbronchoscope has determinate action in diagnosis and differential diagnosis.