肺结节病的误诊分析

目的 提高列肺结节病的认|只和诊断符合率：方法 对1990～2001年诊治的6例结节病患者的临床误诊资料进行分析。结果和结论 肺结节病临床表现不典型，胸部X线及CT常表现为肺门增大，以双侧肺门肿大为主，易误诊为肺结核或肿瘤。经纤维支气管镜括检或皮肤粘腆、淋巴结活检可确诊。肺结节病多见青中年成人，女性发病率高，临床症状不典型，在诊断上要结合临床表现、胸片以及纤维支气管镜、皮肤粘膜、淋巴结活检进行病理检查。

Analysis of misdiagnosis of pulmonary sarcoidosis

Objective To improve the recognition and the diagnostic accuracy of pulmonary sar-coidosis.Methods Six cases of misdiagnosed sarcoidosis from1990to2001were collected and their clinical features were analyzed.Results and Conclusions The clinical manifestations of pul-monary sarcoidosis were not typical.The morbidity was higher in female than in male.Its chest X-ray and CT film often showed the enlargement of hilum and bilateral hila were alway larger than normal,Pulmanary sarcoidsis was usually be misdi-agnosed as tuberculosis or tumor.Diagnosis were made through bronchofiberoscopy and biopsy of skin,mucosa and lymph node.