误诊为肺结核的先天性肺囊性腺瘤样畸形5例临床分析

Congenital cystic adenomatoid malformation misdiagnosed as pulmonary tuberculosis: a clinical analysis of five cases

先天性肺囊性腺瘤样畸形是一种累及胎儿支气管树的罕见的支气管肺发育异常疾病, 青少年及成年人罕见。由于非儿科医师对此病认识较少, 经验缺乏, 此病易被误诊误治。本文通过报道武汉市肺科医院收治的被误诊为肺结核的5例先天性肺囊性腺瘤样畸形患者的病例资料, 分析其临床特征、治疗及误诊原因, 以提高非儿科医师对先天性肺囊性腺瘤样畸形的诊治能力。

Congenital cystic adenomatous malformation is a rare bronchopulmonary dysplasia involving the fetal bronchial tree,which is rare in adolescents and adults.Due to the lack of knowledge and experience of non-paediatricians,the disease is frequently misdiagnosed and mistreated.In order to improve the diagnosis and treatment ability of non-paediatricians for congenital cystic adenomatous malformation,we reported 5 cases of congenital cystic adenomatous malformation misdiagnosed as tuberculosis in Wuhan Pulmonary Hospital,and analyzed their clinical characteristics,treatment and causes of misdiagnosis.