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不同方法检测痰和肺泡灌洗液中结核杆菌的分析
引用本文:康怡.不同方法检测痰和肺泡灌洗液中结核杆菌的分析[J].临床肺科杂志,2014(12):2253-2255.
作者姓名:康怡
作者单位:长沙市中心医院肺科医院肺七科, 湖南 长沙,410004
摘    要:目的对比分析不同检测方法和不同检测标本在结核杆菌检测结果中的意义。方法选取本科室收治的初次我院就诊并临床诊断符合"肺结核"标准的158例患者的痰液和肺泡灌洗液,对所有的标本均进行两次抗酸染色涂片、两次快速培养检测结核杆菌(1次及1次以上阳性均记为阳性)。结果 1.快速培养法的结核杆菌检出率高于抗酸染色涂片法;2.肺泡灌洗液的结核杆菌阳性率均高于痰液。结论快速培养法是临床工作中确诊结核病的首选方法,肺泡灌洗液能有效提高肺结核的诊断率。

关 键 词:结核    肺泡灌洗液

Results and analysis of different methods for detection of mycobacterium tuberculosis in sputum and bron-choalveolar lavage fluid
KANG Yi.Results and analysis of different methods for detection of mycobacterium tuberculosis in sputum and bron-choalveolar lavage fluid[J].Journal of Clinical Pulmonary Medicine,2014(12):2253-2255.
Authors:KANG Yi
Institution:KANG Yi (Pulmonary Hospital of Changsha Central Hospital, Changsha, Hunan 410004, China)
Abstract:Objective To analyze of the significance of different detection methods and different samples in patients with mycobacterium tuberculosis. Methods The sputum and bronchoalveolar lavage fluid of 158 patients were given 2 times of acid fast stain smear and 2 times rapid culture for the detection of mycobacterium tuberculosis. Results The detection rate of mycobacterium tuberculosis was higher by the rapid method than by acid fast stain smear method. The positive rate of mycobacterium tuberculosis was higher in bronchoalveolar lavage fluid than in spu-tum. Conclusion Rapid culture method is the first-choice method for the diagnosis of tuberculosis in clinical work, and bronchoalveolar lavage fluid can effectively improve the diagnostic rate of pulmonary tuberculosis.
Keywords:tuberculosis  sputum  bronchoalveolar lavage fluid
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