肺结核合并支气管结核44例临床分析

目的探讨肺结核合并支气管结核的临床特点。方法回顾性分析44例肺结核合并支气管结核患者的一般情况、临床表现、胸部CT和支气管镜检查等特点。结果支气管结核好发于下叶支气管,多见于20~40岁患者（50.0%）,男女之比为3∶8,可有剧烈咳嗽、胸闷气急或吸气相哮鸣音,胸部CT多见沿支气管分布的点结节状影或肺叶、段不张。结论支气管结核具有一定的临床特点,肺结核患者在具有这些特点时,要高度怀疑有支气管结核的可能,进一步行支气镜检查可明确诊断,指导治疗。

Clinical Analysis of 44 Cases of Pulmonary Tuberculosis Complicated Bronchial Tuberculosis

Objective To investigate the clinical features of the pulmonary tuberculosis incorporated bronchial tuberculosis.Methods The Characteristics of clinic,thoracic CT and bronchoscopy appearances of the forty-four cases with pulmonary tuberculosis incorporated bronchial tuberculosis were retrospectively analyzed.Results The bronchial tuberculosis occurrencing mostly in the lower lobe bronchus,half of the cases being twenty years to forty years old,the ratio of male to female be 3∶8,appearing intense cough,dyspnea,or wheezing rale in inspiratory phase,and displaying the lesser tubercles distributed along bronchiole,or the atelectasis of pulmonary lobes or segments in the thoracic CT.Conclusion The pulmonary tuberculosis possessing the bronchial tuberculosis clinical appearances,were suspected chiefly,bronchoscopy will be very useful to diagnosis and therapy.