胸椎结核椎旁脓肿溃破入胸 ,穿入肺脏的患者 ,多数在病初表现为胸闷、胸痛、咳嗽、咳痰伴发热等 ,常被误诊为大叶性肺炎、非典型性肺炎、肺门淋巴结核、肺癌或纵隔肿瘤 ,延误病情 ,影响治疗。 1981年 11月～1999年 11月 ,我们共收治胸椎结核椎旁脓肿溃破入胸、穿入肺脏患者 4 2 Thoracic paraspinal abscess ulceration into the chest, into the lungs of patients, most of the early performance of the disease chest tightness, chest pain, cough, sputum with fever, etc., are often misdiagnosed as lobar pneumonia, atypical pneumonia, hilar Lymphoid tuberculosis, lung cancer or mediastinal cancer, delay the disease, affecting treatment. November 1981 ~ November 1999, we treated a total of thoracic vertebral paravertebral abscess ulceration into the chest, into the lungs 4 2