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当肺结核变得较少见时,误诊机会就相应较大。本文叙述作者在临床上遇到的若干诊断困难。 1.在黑人中,肺结节病引起肺部广泛性和融合阴影,可模拟肺结核。结核菌索皮试阴性和痰中找不到结核菌可改变诊断。 2.变应性支气管-肺曲菌病通常表现为变应性哮喘患者的一种并发症。本病往往引起哮喘加剧、咳嗽和发热。有时哮喘可很轻微或甚至缺如。肺段阴影或斑状阴影可误诊为肺结核。如果临床医师想到本病的可能性,则可根据下列发现诊断变应性曲菌病:用烟
When tuberculosis becomes less common, the chance of misdiagnosis is correspondingly greater. This article describes some of the author’s clinical diagnostic difficulties. 1. In blacks, lung sarcoidosis causes extensive lung and fusion shadows to mimic tuberculosis. Mycobacterium tuberculosis test-negative and sputum can not find TB can change the diagnosis. 2. Allergic bronchopulmonary aspergillosis usually manifests as a complication of allergic asthma. The disease often causes asthma exacerbations, coughing and fever. Sometimes asthma can be mild or even absent. Pulmonary shadow or spot shadow can be misdiagnosed as tuberculosis. If clinicians think of the possibility of this disease, they can diagnose allergic aspergillosis according to the following findings: