喉溃疡误诊为喉结核一例

Throat Ulcer Misdiagnosed as Laryngeal Tuberculosis Case

目的:分析喉溃疡误诊为喉结核的原因,探讨减少误诊的措施。方法:对收治的一例喉溃疡临床资料进行回顾性分析并复习相关文献。结果:本例患者急性起病,表现为咳嗽、咳痰、咽喉部疼痛,曾进行喉镜检查,误诊为喉结核,后经纤维支气管镜活检明确诊断为喉溃疡,病理检查显示炎症图像。结论:喉溃疡易经临床和喉镜误诊,应重视支气管镜活检,对可疑病例应请有经验的耳鼻喉科及病理科医生会诊,以减少误诊。

Objective: This paper analyzes the reason of the throat ulcer misdiagnosed as laryngeal tubercu-losis and investigates measures to reduce misdiagnosis. Methods: Clinical data of a throat ulcer case were analyzed retrospectively and reviewed related literatures. Results: The patient was acute onset, clinical manifestations of coughing, sputum, and pharyngalgia. He consulted a laryngoscopy, to misdiagnose as laryngeal tuberculosis. And then he was diagnosed as throat ulcers by the fiberoptic bronchoscopy, biopsy and inflammation at pathological examination images. Conclusions: Throat ulcer and laryngeal tuberculosis were misdiagnosed easily, so we should pay attention to bronchoscopy biopsy, and the suspected cases should hold a consultation of doctors practicing otolaryngology and consultation medicine, in order to prevent misdiagnosis.