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45例成人肺下叶结核临床分析
引用本文:季顺民,倪磊,李庆云. 45例成人肺下叶结核临床分析[J]. 临床肺科杂志, 2006, 11(2): 150-151
作者姓名:季顺民  倪磊  李庆云
作者单位:226681,江苏省海安县肿瘤医院;226681,江苏省海安县肿瘤医院;226681,江苏省海安县肿瘤医院
摘    要:目的探讨成人肺下叶结核的临床特点。方法对45例肺下叶结核的临床症状、体征、X线表现、痰检、结核菌素试验及纤维支气管镜等进行回顾性分析。结果本组73.33%的患者缺乏典型的临床表现,而误诊为其他疾病。结论成人肺下叶结核症状、X线表现均不典型,综合判断,反复痰找抗酸杆菌及纤支镜检查有助于早期诊断。

关 键 词:肺下叶结核  误诊分析  支气管镜检查  早期诊断
收稿时间:2005-08-22
修稿时间:2005-08-22

Clinical analysis of 45 patients with adult pulmonary tuberculosis situated in lobes inferior
JI Shunmin,NI Lei,LI Qingyun. Clinical analysis of 45 patients with adult pulmonary tuberculosis situated in lobes inferior[J]. Journal of Clinical Pulmonary Medicine, 2006, 11(2): 150-151
Authors:JI Shunmin  NI Lei  LI Qingyun
Affiliation:The Tumor Hospital of Haian County, Jiangsu, 226631, China
Abstract:Objective To investigate the clinical feature of adult pulmonary tuberculosis situated in lobes inferior.Methods The retrospective study was conducted in 45 patients and the measures included clinical symptoms, physical signs, radiologic findings, sputum examinations, tuberculin tests and broncho-fibroscopy examinations.Results The results showed that 73.3% patients were lacking typical clinical symptoms which might be masked by the complications.Conclusion Adult pulmonary tuberculosis situated in lobes inferior is easy to be misdiagnosed, because the clinical symptoms and the radiologic findings are atypical. Overall consideration, comprehensive evaluation, repeated sputum examinations for tubercule bacillus and broncho-fibroscopy examinations should be taken for the early diagnosis.
Keywords:Pulmonary tuberculosis situated in lobeus inferior   misdiagnosis analyses broncho-fibroscopy detections early diagnosis
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