| 酷似肺癌的支气管内膜结核33例分析 |
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| 引用本文： | 邱晨,周淮英.酷似肺癌的支气管内膜结核33例分析[J].中南大学学报(医学版),1988(2). |
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| 作者姓名： | 邱晨 周淮英 |
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| 作者单位： | 湖南医学院第二附属医院内科
(邱晨)，湖南医学院第二附属医院内科(周淮英) |
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| 摘 要： | 本文分析了酷似支气管肺癌的支气管内膜结核33例,并指出X线胸片及纤支镜直视检查不能作出定性诊断时,纤支镜活检和刷检对诊断将起决定作用。同时提出在正规抗痨治疗的同时,经纤支镜病变支气管滴注或/及病变粘膜下注射抗痨药治疗可防止病变继续发展、加速治愈过程。
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| 关 键 词： | 支气管内膜结核 支气管镜术 硬币形病灶 肺 肺癌 诊断 |
ANALYSIS OF 33 PATIENTS WITH ENDOBRONCHIAL SIMULATING LUNG CANCER |
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| Qiu Chen Zhou Huaiying.ANALYSIS OF 33 PATIENTS WITH ENDOBRONCHIAL SIMULATING LUNG CANCER[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1988(2). |
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| Authors: | Qiu Chen Zhou Huaiying |
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| Institution: | Qiu Chen Zhou Huaiying Department of Medicine,The Second Affiliated Hospital |
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| Abstract: | From Jan. 1984 to Jan. 1987, thirty three cases of endobronchial tuberculosis had been demonstrated by fiberoptic bronchoscopy and biopty. All of them were suspected to have primary bronchogenic carcinoma owing to the clinical feature, chest radiograph appearance and bronchoscopic findings. Evidently, fiberoptic bronchoscopy must be an important diagnosic procedure for endobronchial tuberculosis, but sometimes the bronchoscopic findings of endobronchial tuberculosis may mimic lung cancer. The key to differential diagnosis lies in bronchial mucosa biopsy. Nine cases of endotrachial tuberculosis were treated by intrabronchial and/or submucous administration of chemotherapy via fiberoptic bronchoscope with good results. |
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| Keywords: | Endobronchial tuberculosis Bronchoscopy Coin lesion pulmonary Lung neoplasms Diagnosis |
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